Визуальный прогноз и качество сна у пациентов с хронической болезнью почек

Abstract

Goal. To analyze the effect on the visual prognosis of panretinal laser coagulation, sleep quality, and the severity of chronic kidney disease (CKD) in patients with type 2 diabetes mellitus. Materials and methods. 56 patients (112 eyes) with a history of panretinal laser coagulation were examined. The patients were divided into two groups: group 1 included 32 patients (64 eyes) with CKD of the 1st degree, group 2 included 24 patients (48 eyes) with CKD of the 3rd degree with the same ratio of women and men of 62.5% and 37.5%, respectively. Results. Comparative characteristics of clinical and laboratory parameters revealed significant differences in the groups by age (p = 0.000557), duration of the disease (p = 0.009507) and GFR (p = 0.000000). A significant increase in visual acuity with correction after panretinal laser coagulation (t = -5.31394; p = 0.000009) was observed only in patients of group 1. The correlation dependence of sleep quality on the stage of CKD was revealed (t = -2,647; p = 0,01). In patients of group 2, 100% of the lens pathology and a complication of diabetic retinopathy – diabetic macular edema-were detected. Conclusion. Further prospective study of the effectiveness of laser coagulation in patients with type 2 diabetes mellitus and its effect on sleep quality and visual prognosis in patients with varying degrees of severity of CKD is required.