članak: 1 od 1  
Vojnosanitetski pregled
2009, vol. 66, br. 9, str. 729-732
jezik rada: engleski
originalan članak
doi:10.2298/VSP0909729D
Očne komplikacije i njihovo lečenje kod obolelih od juvenilnog dijabetes melitusa
Dujić Mirjana P.a, Ignjatović Zorab
aKBC Zvezdara
bSpecial Eye Hospital 'Miloš', Belgrade

e-adresa: mdujic@sezampro.yu

Sažetak

Uvod/Cilj. Dijabetes melitus (DM) je metabolički poremećaj koji karakteriše hiperglikemija. Cilj studije bio je da se ispita prognoza vida bolesnika sa insulin-zavisnim juvenilnim DM, kao i efekta lečenja komplikacija dijabetičke bolesti oka. Metode. U studiju su bila uključena 33 bolesnika sa juvenilnim DM u periodu 1992-2007. Razmatran je uticaj sledećih faktora na tok bolesti: životno doba bolesnika, vreme početka bolesti, vreme pojave komplikacija, vrsta lečenja. Rezultati. Od ukupnog broja bolesnika, 15 su praćeni u periodu od 10 i više godina, a 18 od pet do devet godina. U vreme prvog oftalmološkog pregleda, srednje životno doba obolelih bilo je 23,12 ± 6,39, a srednje vreme trajanja bolesti je 17,42 ± 7,42 godine. Na prvom pregledu sedam očiju bilo je bez dijabetičkih promena. Većina drugih bolesnika imala je komplikacije u vidu proliferativne dijabetičke retinopatije (41,39% očiju), neproliferativne dijabetičke retinopatije (13,13% očiju), dok je makula bila zahvaćena kod 10,10% očiju. Dijabetička katarakta bila je prisutna kod 8,8%, kao i trakciona ablacija retine. Jedanaest od 66 očiju imalo je vitreusne hemoragije. Dva bolesnika (5,5% očiju) bolovalo je od neovaskularnog glaukoma. Jedan bolesnik (2,2% očiju) imao je rubeozu dužice i simpleks glaukom. Urađena je panretinalna fotokoagulacija 65% očiju, fokalna fotokoagulacija 15%, pars plana vitrektomija 12%, dok je 4% operisano zbog katarakte uz ugradnju intraokularnog sočiva i perifernom kriopeksijom retine. Zaključak. Potpuni gubitak vida kao posledica komplikacija juvenilne dijabetičke bolesti oka može se prevenirati pravovremeno postavljenom dijagnozom, urednim kontrolama i adekvatnom terapijom.

Ključne reči

dijabetes melitus, insulin-zavisni; dijabetesna retinopatija; lečenje; koagulacija laserom; lečenje, ishod

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