A comparative qualitative assessment of the severity of diabetic retinopathy in patients with stages III, IV and V, requiring hemodialysis, of chronic renal insufficiency

Purpose. Comparative qualitative assessment of the severity proliferative diabetic vitreoretinopathy (PDR) in patients with stages III, IV and V chronic renal failure (CRF). Material methods. 150 (64 % women; 36 men, aged 38 to 79, mean age 61.3 ± 2.3 years) were examined. The divided into three groups, each consisting 50 subjects (100 eyes), according CRF diagnosed terms glomerular filtration rate — CRF-3; CRF-4; CRF-5, latter requiring hemodialysis ( Н D). All groups approximately equally distributed as gender. A total 11 indicators assessed, including condition fundus, macular edema, degree fibrovascular tissue neovascularization, spread traction retinal detachment periphery. examinations performed by one ophthalmic surgeon (A.S. Golovin) order increase reliability assessment. following scoring system was used: 1 point— no changes; 2 points insignificant (weak) 3 moderate 4 pronounced changes. Results. For all indicators, PDR HD significantly higher than CRF-3 or CRF-4. average clinical manifestations for criteria 2.10 0.27; 2.35 0.30 3.21 0.10 (p < 0.05) CRF-4 CRF-5 (HD), respectively. Conclusion. violations is 36.5–52.9 compared CRF-3. Considering more severe nature somatic status patients, it seems expedient develop an advanced vitrectomy technology its medical maintenance anesthetic means.