Analysis of the medical care provision to patients with optic nerves atrophy

Authors

  • Віра Анатоліївна Васюта SI "Institute of Neurosurgery named after A.P. Romodanov NAMSU " str. Platona Maiboroda (Manuilskogo), 32, Kyiv, Ukraine, 04050, Ukraine

DOI:

https://doi.org/10.15587/2313-8416.2015.47984

Keywords:

atrophy, optic nerve, descending, ascending, treatment, care, analysis, defects, optimization

Abstract

Optic nerves atrophy (ONA) – the heavy form of ophtalmopathology that is attended with progressive decrease of optic functions, changes of fields of view and discoloration of the disks of optic nerves. The aim of research – carry out an analysis of the medical care provision to patients with ONA

Methods. There were examined patients who were consulted in neuroophtalmological department. The first group (1667 patients) with descending ONA, the second group (330 patients) with ascending one

Results. In the group of patients with descending ONA 57,8 % underwent surgical treatment of the main disease, and 37,4 % underwent conservative treatment in early postsurgical period. The prophylactic medical examination of patients with descending ONA is almost total (70,6 % in neuroophtalmological department and 29,4 % on a residence). Patients with ascending ONA undergo conservative treatment. The preparations that improve blood circulation are prescribed more often - 92,1 %. Antioxidants are on the first place among preparations that improve metabolic processes (79,1 % of cases). The remedies that normalize the penetrability of the vascular wall are prescribed in 47,3 % cases. 56,1 % of patients undergo electrostimulation of optic nerves, 49,1 % – electrophoresis of remedies, 45,2 % - ultrasound therapy with medicaments or without it

Discussion. An analysis detected the significant difference in tactics of treatment patients with ascending and descending ONA. The further study and improvement of the system of medical care provision to these groups of patients is needed

Author Biography

Віра Анатоліївна Васюта, SI "Institute of Neurosurgery named after A.P. Romodanov NAMSU " str. Platona Maiboroda (Manuilskogo), 32, Kyiv, Ukraine, 04050

candidate of medical sciences, ophthalmologist

References

Nikiforov, A.S., Gusev, M. R. (2008). Neurooftalmologia [Neuroophtalmology]. Moscow: HEOTAR – Media, 621.

Pasechnikova, N. V., Rikov, S. O., Stepaniuk, G. I. (2010). Oftolmologichna dopomoga naselenniu Ukraini u 2009 rozhi [Eye care to the population of Ukraine in 2009 year]. Ophthalmological journal, 5, 83–88.

Rikov, S. O. (2008). Organizacia oftalmologicheskoi pomishi na suchasnomu etapi: dovidnik likaria [Organization of eye care at present: Directory doctor]. Kiev: Doctor media, 357.

Avetisov, E. A., Egorova, E. A., Moshetovoj, L. K. et al. (2013). Oftalmologia: natsionalnoe rukovodstvo [Ophthalmology: national guide]. Moscow, Russia: HEOTAR – Media, 943.

Zhaboedov, G. D., Radchenko, M. R. (2004). Suchasni pogliadi na etiologiu ta likuvannia atrofii zorovogo nerva [Current views on the etiology and treatment of optic nerve atrophy]. Scientific works of employees NMAPO n.a. P. L. Shupika, 13 (4), 291–297.

Zhaboedov, G. D., Skripnik, R. L., Vasyuta, V. A. (2007). Novi moglivosti likuvannia chastkovih atrofiy zorovih nervov [New features treatment of partial atrophy of the optic nerve].Ukrainian neurological journal, 2, 18–21.

Bereznikov, A. I., Serebrovski, V. I., Shatalova, O. V. (2012). Modeli dlia formirovania diagnosticheskih zaklucheniy pri lechenii vospalitelnih zabolevaniy zritelnogo nerva [Models for the formation of diagnostic findings in the treatment of inflammatory diseases of the optic nerve ]. Proceedings of the South-West. State Univ., 5, 30–33.

Pula, J., MacDonald, C. J. (2012). Current options for the treatment of optic neuritis. Clinical Ophthalmology, 6, 1211–1223. doi: 10.2147/opth.s28112

Order of MOZ of Ukraine of 15.03.2007 № 117 "On approval of the protocols of care, specialty "Ophthalmology". Available at: http://www.moz.gov.ua/ua/portal/dn_20070315_117.html

Simko, I. V. (2008). Hirurgicheskie sposobi revaskularizacii zritelnogo nerva [Surgical methods of revascularization of the optic nerve]. Siberian Medical Review, 5, 1–12.

Published

2015-08-20

Issue

Section

Medical