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Effectiveness comparison of laser coagulation in diabetic retinopathy different methods

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Laser coagulation is the method of choice in the diabetic retinopathy treatment. Aim of the study. In this study we compare the methods of classical and pattern laser coagulation in diabetic retinopathy treatment. Materials and methods. We carry out a retrospective analysis of the results of various methods of diabetic retinopathy patients laser treatment, using in the first group the laser IRIDEX Oculight GLx (IRIS Medical) – wavelength 532 nm, in the second group the pattern laser Rascal (Optimal) – wavelength 532 nm. The laser coagulation effectiveness was evaluated by the duration, number and need for additional stages of laser coagulation, the treatment tolerability by patients. We also assessed the impact of laser energy parameters on the eye retina. Results and discussion. Statically confirmed lower energy impact on the eye retina, reducing the number of sessions and treatment time with better tolerability of patients and reduction of additional laser coagulation sessions in the second group, in comparison with the first group, with the same effectiveness of diabetic retinopathy treatment in groups. Conclusion. The method of pattern laser coagulation with the same efficiency as the classical one allows to obtain good results in the diabetic retinopathy treatment with the least damage to the eye retina and greater comfort for the patient.

Keywords

ophthalmology; laser coagulation; diabetic retinopathy; eye retina

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UDC

617.7

Pages

28-33

References

1. Libman E.S., Shakhova E.V. Sostoyaniye i dinamika slepoty i invalidnosti vsledstviye patologii organa zreniya v Rossii [Status and dynamics of blindness and disability because of ocular pathology in Russia]. 7 s’yezd oftal’mologov Rossii [7th Russia Ophthalmologists Congress]. Moscow, 2000, pt. 2, pp. 209-214. (In Russian). 2. Skorobogatova E.S. Invalidnost’ po zreniyu vsledstviye sakharnogo diabeta [Visual Disability due to Diabetes]. Moscow, 2003, 183 p. (In Russian). 3. Shadrichev F.E., Astakhov Y.S., Kryaneva O.Y., Lisochkina A.B. Diabeticheskaya retinopatiya [Diabetic Retinopathy]. St. Petersburg, 1998, 47 p. (In Russian). 4. Balashevich L.I., Brzheskiy V.V., Izmaylov A.S., Somov E.E., Zalevskaya A.G. Glaznyye proyavleniya diabeta [Eye Diabetes Manifestations]. St. Petersburg, 2004, 382 p. (in Russian). 5. Moshetova L.K., Nesterov A.P., Egorov E.A. (eds.). Klinicheskiye rekomendatsii. Oftal’mologiya [Clinical Recommendations. Ophthalmology]. Moscow, GEOTAR-Media Publ., 2006, 238 p. (in Russian). 6. Astakhov Y.S., Shadrichev F.E., Lisochkina A.B. Lazerokoagulyatsiya setchatki pri lechenii diabeticheskoy retinopatii [Eye retina laser coagulation in the diabetic retinopathy treatment]. Klinicheskaya meditsina – Clinical Medicine, 2000, vol. 78, no. 1, pp. 15-18. (In Russian). 7. Ferrara V. Kak novyye tekhnologii izmenyayut khirurgicheskiy i nekhirurgicheskiy podkhod k diabeticheskoy retinopatii [How do new technologies change the surgical and non surgical approach to diabetic retinopathy]. Mikrolektsii, tezisy dokladov, stenogrammy diskussiy 4 Vserossiyskogo seminara – «kruglogo stola» «Makula–2010» [Short Lections, Lecture Notes, Discussions Transcripts of the 4th All-Russian Seminar – “Round Table” “Makula-2010”]. Rostov-on-Don, 2010, p. 480. (In Russian). 8. Blumenkranz M.S. Semiautomated patterned scanning laser for retinal photocoagulation. Retina, 2006, vol. 26, pp. 370-376. 9. Fabrikantov O.L., Goydin A.P. Mediko-sotsial’nyye aspekty primeneniya pattern-lazerov v lechenii bol’nykh s diabeticheskoy retinopatiyey [Medical and social aspects of using pattern lasers in treating patients with diabetic retinopathy]. Sbornik tezisov 10 Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiyem «Fedorovskiye chteniya – 2012» [Proceedings of 10th All-Russian Scientific and Practical Conference with International Participation “Fedorov Readings – 2012”]. Moscow, “Ophthalmology” Publ., 2012, pp. 108-109. (In Russian).

Received

2019-01-18

Section of issue

Clinical medicine

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