No abstract

Цель-определение характера повреждений структур опорно-мышечного аппарата глаза и глазницы, выработка алгоритма лазерной терапии для восстановления кровообращения в зоне повреждения орбиты и транскраниальной лазерной терапии для нормализации микроциркуляции во всех группах мышц челюстно-лицевой области. Материал и методы. Проанализированы результаты обследования и лечения 75 больных с травмой средней зоны лица с использованием методов лазерной спектрофотометрии и компьютерного моделирования структур орбиты во фронтальной, сагиттальной и наклонных плоскостях с SSD-, MPR-и VRTреконструкциями. При компьютерном моделировании применялось программное обеспечение Mimics (Materialise, Leuven, Бельгия). Для исследования микроциркуляции тканей орбитальной и челюстно-лицевой областей использовался комплекс Спектротест. При исследовании регистрировались концентрация кислорода в тканях (сатурация (StO2)) и индекс объемного кровенаполнения сосудов микроциркуляторного русла (V кр).

This report is devoted to the problem of absence universal databases of patients with different chronic eye diseases and continuity of these patients between medical organizations. On the basis of MONIKI there has was held a prospective, observational cohort study of patients since 2016, with diagnoses: uveal melanoma — the first group of patients, degenerative States of the optic nerve and retina (multiple sclerosis, glaucoma) — the second group, — and vascular retinal diseases (venous occlusion, diabetic retinopathy) — the third group. There were 114 patients — in the first, 68 — in the second, 92 — in the third. There were developed statistically significant parameters of patients examination, adaptation of registers to application and increase of their efficiency continues to be corrected. All patients underwent standard ophthalmological examination, in addition-gonioscopy, ultrasound (ultrasound) in a and b-scan mode, including ultrasound biomicroscopy (UBM), optical coherence tomography (OCT), fluorescence angiography (FAG), computed tomography (CT) and/or magnetic resonance imaging (MRI) of the orbit. According to the indications, patients were examined by related specialists. For each patient group, prior results were obtained. They were late detection, untimely treatment and referral patients to other medical organizations, which proves the need to systematize patients with various pathologies and the subsequent continuity of medical organizations as for the timely detection of the disease, as for adequate and timely treatment not only at the local, but also at the regional or Federal levels. The integration of patients register with various ophthalmic diseases has a priority course in the development of healthcare in the Moscow region.

The widespread introduction of intravitreal drug injections into clinical practice has highlighted a number of issues to be solved, including the risk of serious complications, the treatment burden on patients and the patient’s insufficient adherence to treatment, as well as a significant effect on the healthcare cost and effort. One of the ways to resolve the issues is to increase the patients’ awareness concerning the therapy they are about to receive, which contributes to the patients’ understanding of the details of treatment and enables them to make correct decisions. The best option of presenting such information to the patient is to provide them with a written document. The Expert Council on Retinal and Optic Nerve Diseases of the All-Russian Association of Ophthalmologists has developed, approved and tested an information brochure for patients who receive intravitreal injections. It offers brief information on what the procedure is, contraindications, details of preparation, and symptoms, both common ones and those requiring emergency assistance. The paper outlines the results of the study and presents a layout of an information leaflet for patients recommended for use in the Russian Federation.