Применение диодного лазера в комплексном лечении хронического периферического увеита и синдрома «сухого глаза»

Abstract

Purpose. To evaluate the clinical and functional effectiveness of complex treatment of intermediate uveitis complicated by dry eye syndrome based on laser coagulation of chorioretinal structures near the toothed line using a diode laser. Material and methods. Clinical studies were performed among 98 patients who made up 2 observation groups: the main (78 people) and comparison (20 people). All patients were surveyed using the OSDI questionnaire, visometry, biomicroscopy, binocular ophthalmoscopy with sclerocompression, Schirmer I test, Norn test. Patients of the main group, along with conservative treatment, underwent laser coagulation of the extreme periphery of the retina, in the comparison group – conservative treatment. The follow-up period was 6 months. Results and discussion. The use of diode laser coagulation of chorioretinal structures near the toothed line in the complex treatment of intermediate uveitis occurring with dry eye syndrome reduces the number of complaints according to the OSDI questionnaire, positively affects the condition of the ocular surface, contributes to an increase in the parameters of the Schirmer I test and the Norn test, and in 100% of cases provides stable relief of inflammation of chorioretinal structures on the extreme periphery of the fundus. Conclusion. An integrated approach to the treatment of intermediate uveitis occurring with dry eye syndrome, using contactless diode laser coagulation of chorioretinal structures near the dentate line, allows achieving a significant reduction in signs of irritation of the ocular surface, up to their complete disappearance, providing rapid and stable relief of inflammation at the extreme periphery of the fundus in comparison with traditional pharmacotherapy. Keywords: dry eye syndrome, intermediate uveitis, peripheral laser coagulation of the retina.