[Argon laser coagulation in diabetic macular changes].
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Biomedical subjects
Publications and source records attributed to O P Pankova.
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Fifty patients with insulin-dependent diabetes mellitus (DM) and with the disease record ranging from 6 months to 5 years and 30 virtually healthy persons were examined. The follow-up varied from 1.5 to 2 years. The obtained results were made use of to formulate the below diagnostic criterion: a simultaneous increase of the levels of the coagulation activity of the lachrymal fluid (LF) and of the glucose concentration in LF with at least one such phenomenon being registered in one eye and a total asymmetry of more than 0.75 are indicative of diabetic retinopathy or of the possibility it would develop. The mentioned diagnostic criterion can be applied for detecting the risk groups among the DM patients.
The study of the informative value of new radiation methods for diagnosing macular pathology has demonstrated that introduction of techniques, such as angiography using indocyanine green and optical coherent tomography, makes it possible to increase the informative value of diagnosis, to define treatment policy, and to more clearly assess the time course of abnormal changes in different forms of abnormal macular changes. The precise definition of the site and sizes of the subretinal neovascular membrane facilitates the performance of laser therapy (focal laser coagulation and transpupillary thermotherapy) and enhances its efficiency.
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