Kovtun M. Medical and social substantiation of optimizing the functional-organizational system of ophthalmologic help for patients with cataract in conditions of health care reform in Ukraine.

The thesis presents a theoretical generalization and the solution of the acute scientific problem - optimization of the functional-organizational system of ophthalmologic help for patients with cataracts. The author developed the methodical approach to evaluating the state of the system of providing the population with ophthalmologic assistance and methodical support for its reformation. On the basis of the performed analysis we obtained a comprehensive description of the current state of the ophthalmologic system for patients with cataract. Epidemiological studies concerning the incidence of cataracts and the extent of its surgical treatment in different regions of Ukraine were conducted to define the main problems in providing ophthalmic care of patients with cataract. The study determined the following peculiarities: gender and age characteristics of the cataract, the time of application for surgical treatment after diagnosis, the main accompanying eye and somatic diseases in patients with cataracts and their influence on the results of treatment, the main intra-and postoperative complications, the ways of their elimination and prevention. The author developed the classification of modifications of cataract phacoemulsificationusing diagnostic related groups and indications for their use, contraindications for outpatient cataract treatment. Using the results of the clinical and sociological study of the cataract treatment features, we developed a model and the method of prediction a patient with cataract staying in hospital.