Воспалительные изменения глаз у пациентов с сахарным диабетом

Abstract

Target. To determine the level of predisposition of patients with diabetes mellitus to inflammatory reactions of the adnexa of the eyes. Material and methods. 72 patients with diabetic retinopathy of different stages and concomitant inflammatory eye diseases were analyzed. The scientific studies confirming the importance of timely diagnosis of diabetes mellitus and associated inflammatory lesions of the eyes and adnexa of the eyes are compared. Results. 72 patients (144 eyes) with diabetic retinopathy of different stages were examined. The most common clinical manifestations of inflammatory pathology of the eyes and adnexa of the eye were: blepharitis – 50 % of cases; recurrent chalazion – 5 % of cases, blepharoconjunctivitis – 11 % of cases; mucopurulent conjunctivitis – 7 % of cases; keratoconjunctivitis – 8 % of cases; keratitis – 18 % of cases; iridocyclitis – 4 %; DES – in 10 % of cases. The conducted studies confirm the presence of a correlation between the appearance of keratitis, dry eye syndrome and conjunctivitis with the progression of diabetes mellitus and diabetic retinopathy. It has also been established that using modern diagnostic capabilities in ophthalmology, it is possible to timely identify and prescribe effective treatment of systemic vascular pathologies, as a result of which the prognosis in the management of these diseases is significantly improved. Conclusion. Inflammatory lesions of the eye and adnexa of the eyes are directly related to trophic changes characteristic of diabetes mellitus against the background of polyneuropathy and microcirculatory disorders. Keywords: diabetes mellitus, diabetic retinopathy, inflammation, keratitis, conjunctivitis