DOI: https://doi.org/10.22141/2309-8147.5.2.2017.172454

RISK FACTORS PROGRESSION OF DIABETIC IN PATIENTS WITH TYPE II DIABETES

A. S. Hudz, G. E. Zakharevich

Abstract


Summary. Research objective: clarifi cation of VEGFA role in advancing of the diabetic retinopathy (DR) and development of non-proliferative and proliferative DR. 302 patients were included: 1st group (n=76) – patients with DR without visible changes on the eye fundus; 2nd group (n=64) – patients with non-proliferative and 3-rd group (n=64) – patients with proliferative DR (DPR). The control group included 98 patients without diabetes mellitus. VEGFA measurement was carried out in aqueos humor by enzyme immunoassay method (eBioscience Thermo Fisher Sci.; USA). Results showed that patients with DPR were younger than other patients for 5–9 years, had diabetes duration longer (8–15 years), and almost all of themwere  decompensated (93,4 % of patients). The worst visual acuity was also noted in DPR patients (in control group the median of the maximum visual acuity with correction was 1,0, in the 1st and 2nd groups, respectively, 0,8 and 0,7, and in the 3rd group – 0,2 ). The maximum value of a median of intraocular pressure (18 mm hg) was also noted in DPR group. In this group the medians of indicators of the central retina thickness and volume of the retina were increased the most (by 1,3–1,4 times; p<0,01). The VEGFA level in aqueos humor exceeded control in the 1st group by 5,5 times, in the 2nd – by 6,0 times and in the 3rd – by 9,5 times (p<0,01). Such an increase (by 5–6 times) of VEGFA contents is a pathogenetic factor of non-proliferative DR development, and its further augmentation (by 9,5 times) causes DPR development. Respectively, in our research this fact coincides with more serious implications of disturbances of carbohydrate metabolism, visual acuity and ophthalmologic indicators in patients with DPR, which develops at younger age.

Keywords


type II diabetes, diabetic retinopathy, progression, risk factors

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