A new method for predicting the progression of diabetic retinopathy in diabetes of the second type based on early diagnosis of retinal morphology analysis

• Irina V. Vorobyeva

Abstract

Aim. Оptimize the early diagnosis of diabetic retinopathy and diabetic macular edema in diabetes of the second type.

Methods. The material of the study were 300 patients with diabetes mellitus type 2. All patients underwent conventionaL eye examination with an analysis of opticalcoherence tomography.

Results. To study the clinical and morphological status of the retina in patients with diabetes mellitus of the second type with different stages of diabetic retinopathy and diabetic macuLar edema.

The anatomic structure of the macula was investigated with results of optical coherence tomography. It is proved that in patients suffering from diabetes of the second type in the preclinical stage (DR0) for diabetic retinopathy is formed changes in the morphological structure of the retina, which hinders early diagnosis of diabetic retinopathy. For the first time on the basis of mathematical analysis a new method for predicting the progression of diabetic retinopathy was developed and proposed.

Conclusion. For the first time a system of quantitative and qualitative evaluation of the structures of the eye fundus was developed. The diagnostic criteria characterizing the severity of edema volume in retinal thickness in 9 sectors of the macular area was proposed. Also a new method for predicting the progression of diabetic retinopathy was proposed.

Financial Disclosure. No author has a financial or property interest in any material or method mentioned.

Keywords:diabetes mellitus, diabetic macular edema, diabetic retinopathy, optical coherence tomography

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