Monitoring diabetic retinopathy in children with insulin-dependent diabetes mellitus
https://doi.org/10.14341/probl19984433-7
Abstract
A total of 185 children (93 boys and 92 girls) aged 6 months to 15 years and disease duration of 1 to 13 years, residents of different regions of Russia, were examined. Pathological changes of the retina caused by diabetes were detected on the fundus oculi of 56 (30.3%) children. In 42 (22.7%)) of these, the initial changes (solitary retinal hemorrhages, microaneurysms) and in 14 (7.6%)) more pronounced micro- vascular pathological changes typical of nonproliferative diabetic retinopathy were detected, in 2 patients - the proliferative stage. Later argon coagulation of the retina was carried out in 10 patients with nonproliferative diabetic retinopathy and in 2 with proliferative diabetic retinopathy. The initial stages of nonproliferative and proliferative diabetic retinopathy are an indication for laser coagulation in children. The status of 6 (50%) children improved in remote periods (6-24 months) after laser coagulation: hemorrhages resolved and microaneurysms decreased; in 4 (33.3%) children the process was stabilized. Deterioration was observed in 2 (16. 7%o) children with nonproliferative and proliferative diabetic retinopathy.
About the Authors
T. M. MilenkayaEndocrinology Research Center RAMS
Russian Federation
L. N. Shcherbacheva
Endocrinology Research Center RAMS
Russian Federation
V. A. Peterkova
Endocrinology Research Center RAMS
Russian Federation
V. S. Terentyev
Endocrinology Research Center RAMS
Russian Federation
V. P. Maksimova
Endocrinology Research Center RAMS
Russian Federation
I. I. Dedov
Endocrinology Research Center RAMS
Russian Federation
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Review
For citations:
Milenkaya T.M., Shcherbacheva L.N., Peterkova V.A., Terentyev V.S., Maksimova V.P., Dedov I.I. Monitoring diabetic retinopathy in children with insulin-dependent diabetes mellitus. Problems of Endocrinology. 1998;44(3):3-7. (In Russ.) https://doi.org/10.14341/probl19984433-7
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