[Analysis of disability due to ocular complications of diabetes in Tashkent over a ten-year period].
OBJECTIVE
to study peculiarities of primary and recurrent disability due to ocular complications of diabetes in Tashkent over the years 2003-2012 and to assess the impact of risk factors on the effectiveness of laser photocoagulation of the retina.


METHODS
A total of 347 disability examination reports of diabetic patients with ocular complications were copied and 48 case histories of patients with type II diabetes who underwent laser photocoagulation of the retina - retrospectively analyzed. Stabilization of visual function was used as the effectiveness criterion.


RESULTS
The rate of new cases of disability over the studied decade averaged 0.55 per 100,000 population per year, while that of recurrent disability was 1.8 times higher - 0.97. The overall rate of disability was not high - 1.53; at that, severe disability (i.e. grade I and II) prevailed. Both recurrent and primary disability groups were made up by middle-aged patients and those in their retirement age; however, in the recurrent disability group the number of young disabled people was 4.5 times higher than in the primary disability group. Studies of the effectiveness of laser photocoagulation of the retina in relation to the compensation of diabetes and blood pressure level showed that unstable general condition was associated with not only significant deterioration of visual function, but also complications, including severe.


CONCLUSIONS
The rate of disability due to ocular complications of diabetes is generally not high, however, grades I and II disabilities that require greater social support has been found to prevail in both groups. Most of disabled people are middle-aged (working-age population), which also causes economic damage. In cases of decompensated diabetes and unstable blood pressure, the effectiveness of laser photocoagulation of the retina is reduced.
Tashkent Pediatric Medical Institute, 223 Bogishamol St., Tashkent, Uzbekistan, 100140.
Sh A
SA
Dzhamalova
Tashkent Pediatric Medical Institute, 223 Bogishamol St., Tashkent, Uzbekistan, 100140.
Sh T
ST
Iskandarova
Tashkent Regional Eye Hospital, 178 Buyuk Ipak Yo'li St., Tashkent, Uzbekistan, 100077.
A M
AM
Nabiev
D000293:Adolescent; D000328:Adult; D000368:Aged; D048909:Diabetes Complications / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology; D004185:Disability Evaluation; D019468:Disease Management; D005128:Eye Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014610:Uzbekistan / Q000453:epidemiology; D014792:Visual Acuity