Pohorilyy D. The effectiveness of the modified method of surgical treatment of proliferative diabetic retinopathy

Object: hemophthalmus after vitrectomy in patients with proliferative diabetic retinopathy. Objective: To increase the effectiveness of treatment with PDRP hemophthalmus after vitrectomy based on the study of VEGF, TNF-alpha, IL-1beta, IL-1RA levels and vitrealniy fluid detection of risk factors and modification method hemoftalmu replacement gas tamponade using 20% concentration perftorpropana. Methods: general ophthalmology, ultrasound, immunology, statistics, graphics. Takagi - 16, Accurus. Risk factors: duration of diabetes more than 15 years, the duration of the proliferative process over 3 years course decompensated diabetes, characterized by episodes of hypoglycemia at night, the presence of protein and glucose in urine hypertension. The model prediction with a sensitivity of 91.6% and a specificity of 85.8%. The model allows a high degree of reliability - 88.4% predict the development of this complication in 2 months after vitrectomy. A method of treatment that is to evacuate blood by substitution of gas tamponade, differing in that the 20% gas mixture perftorpropana. Applying the proposed method achieves transparency vitrealnoho content in 93.4% of cases within 4 months after treatment. The results introduced in Military medical clinical center of Odessa, SI "Institute of Eye Diseases and Tissue Therapy named. V.P.Filatova NAMS of Ukraine", Luhansk Oblast Center of Eye Diseases. Sphere of application - medicine, ophthalmology.