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Клініко-імунологічні особливості запальної реакції ока при екстракапсулярній екстракції катаракти з імплантацією інтраокулярних лінз у хворих на цукро

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?INOEOOO I*IEO OAI?IA ? OEAIEIII? OA?AI??

?I. A.I.O?EAOIAA

OAeE 617.741-004.1-02:616.379-008.64-089.87+57.083.3

e a ? ? i i a

Iooo?e ?n?ao?e iaee

Ee?i?ei – ?ioiieia?/i? iniaeeaino? caiaeueii? ?aaeoe?? iea i?e
aeno?aeainoey?i?e aeno?aeoe?? eaoa?aeoe c ?iieaioaoe??th ?io?aieoey?ieo
e?ic o oai?eo ia oeoe?iaee ae?aaao

14.01.18. – I/i? oai?iae

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Iaeana – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?inoeooo? i/ieo oai?ia ? oeaieiii? oa?ai?? ?i.
A.I.O?eaoiaa AII Oe?a?ie.

Iaoeiaee ea??aiee:

eaiaeeaeao iaaee/ieo iaoe, aeioeaio Ia?aoya?i Ieaa Aiaoie?eiae/,
?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa, ea??aiee
a?aeae?eaiiy iooaeueiiaiaeie?eiieia?? ? i?e?io??o?a?/iiai e?eoaaiiy
aeaoeiie

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, noa?oee iaoeiaee ni?a?ia?oiee Naaei Aaeaioei
Aeaaeeneaaiae/, ?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai??
?i.A.I.O?eaoiaa, ea??aiee a?aeae?eaiiy oaa?o?a

aeieoi? iaaee/ieo iaoe, aeioeaio Iao?oiy Aiae??e Ieoaeeiae/, Eoaainueeee
aea?aeaaiee iaaee/iee oi?aa?neoao, aeioeaio eaoaae?e i/ieo oai?ia

I?ia?aeia onoaiiaa:Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y,
eaoaae?a i/ieo oai?ia, IIC Oe?a?ie, i. Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny “22” aeiaoiy 1999 ?. i “ 10 ” aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 41.556.01 a ?inoeooo? i/ieo
oai?ia ? oeaieiii? oa?ai?? ?i.A.I.O?eaoiaa ca aae?anith: 270061, i.
Iaeana, O?aioeocueeee aoeueaa?, 49/51.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo i/ieo
oai?ia ? oeaieiii? oa?ai?? ?i.A.I.O?eaoiaa (270061, i. Iaeana,
O?aioeocueeee aoeueaa?, 49/51).

Aaoi?aoa?ao ?ic?neaiee “ 21 ” aa?aniy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee

aeieoi? iaaee/ieo iaoe, i?ioani?
A.N.Iiiiia?/oe

caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue oaie. A oaia??oi?e /an niinoa??aa?oueny oaiaeaioe?y aei
c?inoaiiy caoai?thaaiino? ia oeoe?iaee ae?aaao (OeAe) o anueiio na?o?,
ui i?ecaiaeeoue aei ca?eueoaiiy a?aeiinii? /anoee oai?eo ia OeAe na?aae
caaaeueiiai eiioeiaaioo iooaeueiieia?/ieo iaoe??io?a, ye? no?aaeaeathoue
ia eaoa?aeoo. A?aeiii, ui eaoa?aeoa i?e OeAe cono??/a?oueny /ano?oa, a
a?eueo iieiaeiio a?oe?, ? i?ia?ano? oaeaeoa. A?ae 7% aei 19% an?o
oai?eo, ye? iia?othoueny c i?eaiaeo eaoa?aeoe, neeaaeathoue oai?? ia
OeAe (Clayman et al., 1979; Harding J.J. et al., 1993; Gabric N. et al.,
1996). Ca aeaieie Klein A.A. et al., (1995) a oa?i?i 10 ?ie?a a?ae
ii/aoeo caoai?thaaiiy OeAe o??o?a?/ia ao?o/aiiy c i?eaiaeo eaoa?aeoe
iio?aaothoue 24,9% oai?eo ia ?inoe?iiacaeaaeiee ? 8,3% oai?eo ia
?inoe?icaeaaeiee OeAe.

I?iaeaia aeioe?eueiino? i?iaaaeaiiy ?io?aieoey?ii? ei?aeoe?? i?e OeAe,
iniaeeai i?e iayaiino? ??cieo oi?i ae?aaaoe/ii? ?aoeiiiao?? (Ae?I)
caeeoa?oueny iaae??oaiith. Aeaye? aeine?aeieee ?aeiiaiaeothoue
?iieaiooaaoe ?IE i?e a?aenooiino? Ae?I (Aeuecoa? I., 1990; Aacnia?oiee
A.I.,1990; E?ea?oeueeee A.E., 1990; ?ai?iaa A.A., 1992). Na?a??iei I.I.
(1991) aaaaea? ca iiaeeeaa ?iieaiooaaoe ?IE i?e eaae?e oi?i? ae?aaaoo oa
iacia/i?e o?eaaeino? caoai?thaaiiy, o oai?eo noa?oa 50-oe ?ie?a ? i?e
a?aenooiino? iaoieia?? n?oe?aee. ?iicaii? aaoi?e aaaaeathoue
aei?aaaeaiith ?iieaioaoe?th ?IE i?e iai?ie?oa?aoeai?e Ae?I (Stark W. et
al., 1983; Straatsma A., 1983; Sebestyen J.G., 1986; Alpar S. et al.,
1987) ? iaa?oue i?e ii/aoeia?e i?ie?oa?aoeai?e Ae?I, a oiiaao
a?aenooiino? ?oaaico ?aeaeoaeee (Cunliffe I.A. et al.,1991; Noble B., et
al.,1991).

Iayai?noue noia?a/ieo iiaeyae?a uiaei aeioe?eueiino? cai?iaaaeaeaiiy
?io?aieoey?ii? ei?aeoe?? o oai?eo ia OeAe oa eaoa?aeoo coiiaeaia
oneeaaeiaiiyie, ye? niinoa??aathoueny i?ney iia?aoe??, naieie /anoeie c
yeeo ? ae?aaeaia caiaeueia ?aaeoe?y iea oa i?ia?anoaaiiy Ae?I (Krupsky
S. et al.,1991; Pollack A. et al.,1991,1992; Schatz H. et al.,1994;
Ae?icaeianueea A.N. c ni?aaao. 1994; Einoaa N.?., 1996).

I?eeiath/e aei oaaae o?aaiaoe/i?noue oe?o?a?/iiai ao?o/aiiy i?e
aeno?aeainoey?i?e aeno?aeoe?? eaoa?aeoe (AAE) c ?iieaioaoe??th
?io?aieoey?ieo e?ic (?IE), a?eueo?noue iooaeueiieia?a (Aanaeianueea
C.O.,1989; Na?a??iei I.I.,1990; Oaaei?ia N.I. c ni?aaao., 1992),
aeacothoue ia oa, ui i?e ii?ooaii? ?ioiieia?/iiai, aoii?aeueiiai,
aaiiaeeiai?/iiai noaoono iea oa i?aai?cio a oe?eiio noa? iiaeeeaei
?icaeoie aaaeeeo i?iya?a caiaeueii? ?aaeoe?? iea iaa?oue i?e
iaoneeaaeiaiiio oiae? iia?aoe??. Iniaeeaa cia/aiiy o aeieeiaii?
i?neyiia?aoe?eiiai caiaeaiiy iea ia? ii?ooaiiy aaiaoiiooaeuei?/iiai
aa?’??o (Sanders D.R et al., 1982-1984; Ferguson V.M. et al., 1992),
iaei??th ?c i?ia?aeieo i?e/ei oeueiai ? iayai?noue ae?aaaoe/ieo
i?e?iaia?iiao?e.

Ca aeaieie ?yaeo aaoi??a, ii/aoeiaee noai ?ioiieia?/ii? ?aaeoeaiino?
i?aai?cio (??I) nooo?ai aieeaa? ia ae?aaeai?noue i?iya?a caiaeueii?
?aaeoe?? iea ia iia?aoe?eio o?aaio i?e AAE c ?iieaioaoe??th ?IE o oai?eo
ia a?eiao eaoa?aeoo (Aai?a??a Ae.N., 1983; Iaioaea?a A.A., 1996;
Aanaeianueea C.O., 1989).

A ?iaioao Aeaaoy?aiei O.A. c ni?aaao. (1981;1982;1994), Eaoeioeaai? E.O
c ni?aaao. (1981;1982;1983), Naeaeaia E.?. (1989), Aia?ii? ?.O.(1995),
Caeoeaai? I.N. c ni?aaao., (1997) Aeaa?aeoa A.O., (1997), a oaeiae
?iicaiieo aaoi??a (Esser P., 1993; Tang S., 1995; Rodriguez-Segade S.,
1996) aeeeaaeaii oa?aeoa? ?ioiieia?/ieo ii?ooaiue o oai?eo ia OeAe c
??cieie oi?iaie Ae?I, anoaiiaeaii aeai?an?th ee?oeiii? oa aeoeaaoe?th
aoii?aeueii? eaiie ?ioiii? a?aeiia?ae?, a oaeiae aooinainea?e?caoe?th
aei aioeaai?a (AA) oeaiei iea.

Ooieoe?iiaeuei? ?acoeueoaoe iia?aoeaiiai e?eoaaiiy eaoa?aeoe ?
iniaeeaino? ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo i?e AAE c
?iieaioaoe??th ?IE o oai?eo, ye? no?aaeaeathoue ia ??ci? oeie OeAe
aea/aii iaaeinoaoiuei, a oaeiae ia aeine?aeaeaii oa?aeoa? ii?ooaiue
?ioiieia?/iiai noaoono i?aai?cio o oai?eo ia OeAe, ye? iio?aaothoue
aeno?aeoe?? eaoa?aeoe.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie. ?iaioa aeeiiaia
a?aeiia?aeii aei ieaio IAe? ?inoeoooo i/ieo oai?ia ? oeaieiii? oa?ai??
?i. A.I.O?eaoiaa o ?aieao aaeocaai? iaoeiai-oaoi?/ii? i?ia?aie, ? yaey?
niaith o?aaiaio oaie IAe? A01002987? “Aecia/eoe oaeoi?e ?eceeo ?icaeoeo
ae?aaaoe/ii? ?aoeiiiao??, ?ic?iaeoe nenoaio ?aiiuei? ae?aaiinoeee ia
aeiee?i?/i?e noaae??, oaeineiiaeeoe iaoiaee e?eoaaiiy”.

Iaoa aeine?aeaeaiiy. Iaoith aeine?aeaeaiiy noaei i?aeaeuaiiy
aoaeoeaiino? iia?aoe?? AAE c ?iieaioaoe??th ?IE o oai?eo ia oeoe?iaee
ae?aaao ia i?aenoaa? aea/aiiy iniaeeainoae ia?aa?ao i?neyiia?aoe?eiiai
ia??iaeo, noaio ?ioiieia?/ii? ?aaeoeaiino? o oeeo oai?eo oa ?ic?iaee
ee?i?ei-?ioiieia?/ieo e?eoa???a i?iaiicoaaiiy ?icaeoeo i?neyiia?aoe?eieo
oneeaaeiaiue caiaeueiiai oa?aeoa?o, ye? aieeaathoue ia ooieoe?iiaeuei?
iane?aeee iia?aoe??.

Caaea/? aeine?aeaeaiiy:

1. Aea/eoe iniaeeaino? ee?i?/iiai ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo
i?e AAE c ?iieaioaoe??th ?IE o oai?eo ia OeAe I ? II oeio oa i?iaanoe
aiae?c ooieoe?iiaeueieo ?acoeueoao?a cai?iaaaeaeaiiai iia?aoeaiiai
ao?o/aiiy.

2. Aea/eoe ii/aoeiaee noai oa aeeiai?eo ?ioiieia?/ii? ?aaeoeaiino?
i?aai?cio o oai?eo ia OeAe I ? II oeio oa eaoa?aeoo ? aecia/eoe cia/aiiy
ii?ooaiue ?ioiieia?/iiai noaoono o oai?eo ia OeAe o aeieeiaii? ?
?icaeoeo i?neyiia?aoe?eii? caiaeueii? ?aaeoe?? iea i?e AAE c
?iieaioaoe??th ?IE.

3.Aecia/eoe oaeoi?e ?eceeo ?icaeoeo aaaeei? caiaeueii? ?aaeoe?? iea
i?ney AAE c ?iieaioaoe??th ?IE o oai?eo ia OeAe ia i?aenoaa?
ia?aaeiia?aoe?eieo ee?i?ei-?ioiieia?/ieo aeaieo.

4.Aea/eoe aoaeoeai?noue AAE c ?iieaioaoe??th ?IE o oai?eo ia OeAe, yeo
aoei i?iaaaeaii ?c a?aooaaiiyi oaeoi??a ?eceeo ?icaeoeo aaaeei?
i?neyiia?aoe?eii? caiaeueii? ?aaeoe??.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa anoaiiaeaii iniaeeaino?
ii?ooaiiy ?ioiieia?/ii? ?aaeoeaiino? i?aai?cio o oai?eo ia eaoa?aeoo ?
OeAe — i?eai?/aiiy ooieoe?iiaeueii? aeoeaiino? O-noi?ani?ii? eaiee
ee?oeiiiai ?ioieoaoo ? aenieee ??aaiue nainea?e?caoe?? aei aioeaai?a
noaeeiii? iaieiiee oa e?eooaeeea, a?eueo ae?aaeai? i?e ?inoe?icaeaaeiiio
oei? caoai?thaaiiy, iieacaii cia/aiiy aeyaeaieo ii?ooaiue ?ioiieia?/iiai
noaoono oai?eo ia OeAe o aeieeiaii? oa ?icaeoeo i?neyiia?aoe?eii?
caiaeueii? ?aaeoe?? iea i?e AAE c ?iieaioaoe??th ?IE.

Anoaiiaeaii, ui oaeoi?aie ?eceeo aeey ?icaeoeo neeueii?
i?neyiia?aoe?eii? caiaieueii? ?aaeoe?? i?e AAE c ?iieaioaoe??th ?IE o
oai?eo ia OeAe ? OeAe aaaeeiai nooiaiy, iayai?noue i?ioa?io???, aenieee
??aaiue oeoe?o a e?ia? oa cia/aiiy ?ioii?aaoeyoi?iiai ?iaeaeno.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Anoaiiaeaii, ui i?e AAE c
?iieaioaoe??th ?IE ia?aa?a i?neyiia?aoe?eiiai ia??iaeo a?eueo aaaeeee o
oai?eo ia oeoe?iaee ae?aaao, i?ae o oai?eo ia a?eiao eaoa?aeoo.
I?neyiia?aoe?eia caiaeueia ?aaeoe?y neeueiiai nooiaiy niinoa??aaeinue o
oai?eo ia OeAe I ? II oeio a 3-5 ?ac?a /ano?oa, i?ae o oai?eo ia a?eiao
eaoa?aeoo.

A?aooaaiiy aeyaeaieo oaeoi??a i?iaiicoaaiiy caiaeueieo oneeaaeiaiue o
ia?aaeiia?aoe?ei?e i?aeaioiaoe? oai?eo aeicaieeei i?aeaeueoe
ooieoe?iiaeueio aoaeoeai?noue (aino?ioa ci?o 0,5 ? aeua) AAE c
?iieaioaoe??th ?IE ia 16,8%.

Ai?iaaaeaeaiiy ?acoeueoao?a ?iaioe a i?aeoe/io iooaeueiieia?th aoaea
ni?eyoe iie?ioaiith ooieoe?iiaeueieo iane?aee?a oa ee?i?/ii?
aoaeoeaiino? iia?aoe?? AAE c ?iieaioaoe??th ?IE o oai?eo ia oeoe?iaee
ae?aaao.

Ai?iaaaeaeaiiy a i?aeoeeo. ?ic?iaeaii niin?a i?iaiicoaaiiy neeueii?
i?neyiia?aoe?eii? caiaeueii? ?aaeoe?? i?e aeno?aeainoey?i?e aeno?aeoe??
eaoa?aeoe c ?iieaioaoe??th ?IE o oai?eo ia oeoe?iaee ae?aaao ia
i?aenoaa? ioe?iee iieaciee?a ?ioiieia?/ii? ?aaeoeaiino? i?aai?cio.

?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeai? a ee?i?/io i?aeoeeo ?
canoiniaothoueny ia aac? a?aeae?eaiiy iooaeueiiaiaeie?eiieia?? ?
i?e?io??o?a?/iiai e?eoaaiiy aeaoeiie Iinoeoooo i/ieo oai?ia ? oeaieiii?
oa?ai?? ?i. A.I.O?eaoiaa.

Iniiai? iaoeia? ? i?aeoe/i? iieiaeaiiy ?iaioe aeeth/aie a i?ia?aio
eaeoe?e ? i?aeoe/ieo caiyoue ia?aaeaoanoaoe?eieo oeeee?a eaoaae?e
iooaeueiieia?? c ?aae?aoe?eiith iaaeeoeeiith oaeoeueoaoo i?neyaeeieiiii?
i?aeaioiaee e?ea??a Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

Iniaenoee aianie caeiaoaa/a: Ianoaaeaiiy oa e?eoaaiiy oai?eo ia
eaoa?aeoo ? OeAe, a oaeiae ia a?eiao eaoa?aeoo i?iaaaeaii o a?aeae?eaii?
iooaeueiiaiaeie?eiieia?? ? i?e?io??o?a?/iiai e?eoaaiiy aeaoeiie
?inoeoooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i. A.I.O?eaoiaa ca o/anoth
ea??aieea a?aeae?eaiiy aeioe., e.i.i. Ia?aoya?ia I.A.

?ioiieia?/ia ianoaaeaiiy oai?eo i?iaaaeaii a eaai?aoi??? ?ioiieia?? ?
iaoiii?oieia?? oeaiei ?inoeoooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i.
A.I.O?eaoiaa ca o/anoth no. iaoe. ni?a?., ae.i.i. Aeaaoy?aiei O.A.

Naiino?eii caeiaoaa/ai i?iaaaeaii iooaeueiieia?/ia ianoaaeaiiy, aiae?c
io?eiaieo ee?i?/ieo ?acoeueoao?a o iaoe??io?a, aiae?c ?acoeueoao?a
?ioiieia?/ieo aeine?aeaeaiue, a oaeiae ?o eiii’thoa?iee noaoenoe/iee
aiae?c.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee ?iaioe aeeeaaeai? ?
iaaiai?ai? ia can?aeaii? Iaeanueeiai iaeaniiai iaoeiaiai oiaa?enoaa
iooaeueiieia?a (1998 ?. i. Iaeana) oa Iaoeia?e eiioa?aioe??
iooaeueiieia?a, i?enay/ai?e 90-??//th aeaae. I.I.Io/eianueei? (1998 ?.,
i. Iaeana).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 5 ?ia?o, c ieo 3 noaoo?
o oaoiaeo iaoeiaeo aeo?iaeao, 1 noaooy – o oaoiaiio ca??ieeo iaoeiaeo
i?aoeue, 1 – o oacao iaoeiai? eiioa?aioe?? iooaeueiieia?a.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y iaienaia ?in?enueeith
iiaith, aeeeaaeaia ia 148 noi??ieao eiii’thoa?iiai oaenoo. Neeaaea?oueny
?c anooio, 5 ?icae?e?a, caeeth/aiiy, aeniiae?a oa nieneo aeei?enoaii?
e?oa?aoo?e. Aeena?oaoe?y ?ethno?iaaia 4 ae?aa?aiaie, 29 oaaeeoeyie, 11
oioia?ao?yie, 4 aeieneaie c ?noi??e oai?ia, ye? caeiathoue 11 noi??iee.
Nienie aeei?enoaii? e?oa?aoo?e i?noeoue 217 iaeiaioaaiue ? ?ici?uo?oueny
ia 24 noi??ieao.

INIIAIEE Ci?no ?iaioe

Ia’?eo oa iaoiaee aeine?aeaeaiiy. I?aaenoaaeai? iooaeueiieia?/i? oa
ee?i?ei-?ioiieia?/i? aeine?aeaeaiiy i?iaiaeeeenue ia aac? a?aeae?eaiiy
i?e?io??o?a?? aeaoeii oa iooaeueiiaiaeie?eiieia?? ? eaai?aoi???
?ioiieia?? oa iaoiii?oieia?? oeaiei ?inoeoooo i/ieo oai?ia ? oeaieiii?
oa?ai?? ?i. A.I.O?eaoiaa ia i?ioyc? 1996-1998 ??. I?ae niinoa?aaeaiiyi
ia?aaoaaei 215 oai?eo ia eaoa?aeoo (239 i/ae), c yeeo 11 oai?eo OeAe I
oeio (16 i/ae) ? 128 oai?eo OeAe II oeio (147 i/ae). An?i oai?ei aoea
i?iaaaeaia AAE c ?iieaioaoe??th caaeiueieaia?ii? ?IE (iiaeae? J-loop, c
oe?eueiiai iie?iaoeeiaoae??eaoa) c o?enaoe??th a oeee?a?i?e ai?ici?.

Na?aaei?e a?e oai?eo nooo?ai a?ae??ciyany o aeuacacia/aieo a?oiao oai?eo
ia OeAe: 21,5±1,2 ??e o oai?eo ia ?inoe?icaeaaeiee ae?aaao; 63,1±0,9
?ie?a o oai?eo ia ?inoe?iiacaeaaeiee ae?aaao, a?i neeaaeaa 70,1±1,0
?ie?a o eiio?ieuei?e a?oi?. Na?aaei?e oa?i?i a?ae aecia/aiiy ae?aaaoo
aei iia?aoeaiiai ao?o/aiiy o oai?eo ia OeAe I oeio neeaa 10,6±1,0 ?ie?a,
a o oai?eo ia OeAe II oeio 12,5±0,7 ?ie?a. Eiiiainaoe?y oeoe?iaiai
ae?aaaoo cae?enithaaeanue o 39 oai?eo ca aeiiiiiaith ?inoe?iioa?ai??, o
78 oai?eo ia?i?aeueieie oeoe?icieaeoth/eie i?aia?aoaie, ? o 22 oai?eo
aeio?eiaiiyi ae??oe.

Iooaeueiieia?/i? iaoiaee aeine?aeaeaiiy aeeth/aee: 1) aecia/aiiy
aino?ioe ci?o ca aeiiiiiaith oaaeeoe? A.Oaaaeueiaa aai niaoe?aeueieie
iioioeiaie; 2) a?ii?e?ineii?th ia?aaeiueiai a?aeae?eo i/iiai yaeoea ia
u?eeii?e eaii? o??ie Opton, (I?ia//eia) ca?aeii aei caaaeueiii?eeiyoi?
iaoiaeeee; 3) aii?ineii?th (ca aeiiiiiaith o?ueioaeca?eaeueii? e?ice
Aieueaeiaiia); 4) i?yio iooaeueiineii?th aeaeo?iiooaeueiineiiii o??ie
Carl Zeiss Jena (I?ia//eia) ? cai?ioith iooaeueiineii?th ca aeiiiiiaith
a?iieoey?iiai iooaeueiineiia IAI-3; 5) oiiiiao??th ca iaoiaeii Iaeeaeiaa
aaioaaeai 10 a.; 6) ioe?iea noaio caaeiueiai a?aeae?eo i/iiai yaeoea i?e
ae?aaeaieo iiiooi?iiyo iioe/ieo na?aaeiaeu i?iaiaeeeanue ca aeiiiiiaith
oeueo?acaoeiaeo aeine?aeaeaiue (A ? A – iaoiaee neaioaaiiy); 7)
ooieoe?iiaeuei? aeaeo?io?c?ieia?/i? aeine?aeaeaiiy noaio ci?iaiai
aiae?caoi?a (IA*O – ii??a aeaeo?e/ii? /ooeeaino? ci?iaiai aiae?caoi?a ca
oinoaiii – ii?ia 30-70 ieA, eaa?euei?noue (e?eoe/ia /anoioa cieeiaiiy
ieaio?iue, E*CIO, ii?ia 40-60 Aoe)) – ia noeioeyoi?? iooaeueiieia?/iiio
EINI-2 “Oinoai”; 8) aeine?aeaeaiiy iiey ci?o ia i?iaeoe?eiiio ia?eiao??
o??ie Carl Zeiss Jena (I?ia//eia).

?ioiieia?/ia ianoaaeaiiy oai?eo i?iaiaeeeinue ca 1-2 aei? aei iia?aoe??
? ia 7-10 aeiao i?ney iia?aoeaiiai ao?o/aiiy. Aiii aeeth/aei aea/aiiy
noaio O-? A- nenoai ?ioi?oaoo, ianiaoeeo?/iiai ?ioi?oaoo, a oaeiae
ioe?ieo nainea?e?caoe?? i?aai?cio aei aioeaai?a oeaiei iea. ?ioiieia?/i?
aeine?aeaeaiiy cae?enithaaeenue ca iaoiaee/ieie ?aeiiaiaeaoe?yie
“Onei?aiiay ia?ae/iay ioeaiea eiioiiiai noaoona /aeiaaea”, ye? aoee
?ic?iaeai? a ?inoeooo? i/ieo oai?ia ? oeaieiii? oa?ai?? ?iai? A.I.
O?eaoiaa (1990) a oaeiae ?c canoinoaaiiyi iaoiaeeee ioe?iee
nainea?e?caoe?? i?aai?cio aei AA oeaiei iea (Aeaaoy?aiei O.A., 1992).

Aeey ioe?iee noaio ee?oeiiiai ?ioieoaoo i?iaiaeeee: 1) aecia/aiiy
aaniethoiiai ai?noo eaeeioeeo?a oa e?ioioeeo?a o e?ia?; 2) aecia/aiiy
a?aeiinii? oa aaniethoii? e?eueeino? O-e?ioioeeo?a ca oanoii niiioaiiiai
?icaoeiooai?aiiy c a?eo?ioeeoaie aa?aia (A-?OE); 3) ioe?ieo
ooieoe?iiaeueii? aeoeaiino? noaiiioeyoe?e O-e?ioioeeo?a, ye? iathoue
oaeia?i? oa noi?ani?i? aeanoeaino? ca aeaieie iaaaioaaeoaaeueiiai oanoa
A – ?icaoeiooai?aiiy e?ioioeeo?a i?ney ?o ?ieoaaoe?? c oaio?e?iii.

Aeey aea/aiiy noaio aoii?aeueiiai ?ioi?oaoo canoiniaoaaee: 1) aecia/aiiy
a?aeiinii? oa aaniethoii? e?eueeino? A-e?ioioeeo?a ca oanoii
?icaoeiooai?aiiy c a?eo?ioeeoaie ieo? (I-?OE); 2) aecia/aiiy ai?noo
?ioiiaeiaoe?i?a A, G ? I eean?a o ieaci? e?ia? iaoiaeii ?aae?aeueii?
?ioiiaeeooc?? ca Iai/?i?.

Aeey ioe?iee noaio ianiaoeeo?/iiai ?ioi?oaoo aecia/aee: 1) oaaioeeoa?io
aeoeai?noue iaeo?io?e?a c ee?oeiaie iaea?nueeeo ae??aeaeae?a, o?eniaaieo
iaa??aaiiyi; 2) ooieoe?iiaeueio aeoeai?noue iaeo?io?e?a ca oanoii I-?OE,
?ic?aoiaoaaee oaeiae ?iaeaen iaaaioaaeaiiy (A-?IE/A-?II).

Nainea?e?caoe?y i?aai?cio aei aooiaioeaai?a ioe?ithaaeanue ca
iaaaioaaeoaaeueieie oanoaie A-?OE c aooiaioeaaiaie noaeeiii? iaieiiee
iea oa e?eooaeeea.

Nooi?iue i?iya?a caiaeueii? ?aaeoe?? a ?aiiueiio i?neyiia?aoe?eiiio
ia??iae? i?ney AAE c ?iieaioaoe??th ?IE aecia/aany ca?aeii eeaneo?eaoe??
Na?a??iea I.I.- Aanaeianueei? C.O. (1985), ca yeith a IC? aeae?eythoueny
o?e nooiai? aaaeeino?: I – neaaeee, II – na?aaei?e oa III – neeueiee. O
oai?eo ??cieo a?oii, ui ciaoiaeeeeny i?ae iaoei niinoa?aaeaiiyi,
e?eoaaiiy o i?neyiia?aoe?eiiio ia??iae? aoei aiaeia?/iei aei
o?aaeeoe?eiiai oa, ca?aeii aei ?aeiiaiaeaoe?e aeuacaaaeaieo aaoi??a,
aeeth/aei aioea?ioeee, noa?i?aei? ? ianoa?i?aei? i?ioecaiaeuei? caniae,
o?a?eiie?cei ? o.ae.

Aeey aea/aiiy a?aeaeaeaieo ?acoeueoao?a oai?? aoee ianoaaeai? a ??ci?
oa?i?ie (1, 3, 6 ? 12 i?n.) i?ney iia?aoeaiiai ao?o/aiiy.

Noaoenoe/ia ia?iaea aeaieo i?iaiaeeeanue ca aeiiiiiaith i?ia?aie
STATISTICA for Windows (Ai?iaeeia A.I. 1997) ia ia?niiaeueiiio
eiii’thoa?? ia aac? i?ioeanni?a ?entium 166 IIO. Io?eiai? ii??aiyeuei?
oa ei?aeyoe?ei? iieacieee i?eeiaeeny ca a??ia?aei? i?e aaee/ei?
eiao?oe??ioo a??ia?aeiino? ? 0,513 (81,2%)61 (67,8%)64
(87,7%)Anueiai i/ae:169073

Oae, /a?ac 1 ??e i?ney iia?aoe?? AAE c ?iieaioaoe??th ?IE aino?ioa ci?o
0,5 e aeua niinoa??aaeanue o 81,2% oai?eo ia OeAe I oeio ? o 67,8%
oai?eo ia OeAe II oeio (a eiio?ieuei?e a?oi? oaeo aino?ioo ci?o
a?aecia/aii a 87,7% aeiaaee?a). Aino?ioa ci?o 0,5 e aeua a oe?eiio a
ianoaaeaieo oai?eo ia OeAe niinoa??aaeinue ia 74-o c 106 i/ae, ui neeaei
69,8% aeiaaee?a.

Iaiao?aeii a?aecia/eoe, ui i?e iayaiino? Ae?I aino?ioa ci?o 0,5 ? aeua
niinoa??aaeanue o?eueee o 50,0% oai?eo, a i?e iayaiino? ae?aaaoe/iiai
o?aaeaiiy iaeoey?ii? iaeano? oaeeo ooieoe?iiaeueieo ?acoeueoao?a
e?eoaaiiy aoei aeinyaiooi eeoa a 11,5% aeiaaee?a.

?ao?iniaeoeai? niinoa?aaeaiiy aeicaieeee anoaiiaeoe, ui o oai?eo ia
OeAe, yeei aoei cae?eniaii AAE c ?iieaioaoe??th ?IE, /a?ac 1 ??e i?ney
iia?aoeaiiai ao?o/aiiy aeineoue aenie? ooieoe?iiaeuei? ?acoeueoaoe aoei
io?eiaii i?e neaaeiio oa na?aaeiueiio nooiaiyo i?iya?a IC? iea a
?aiiueiio i?neyiia?aoe?eiiio ia??iae?. I?e oeueiio aino?ioa ci?o 0,5 ?
aeua niinoa??aaeanue a?aeiia?aeii a 32 (80,0%) ? 33 (75,0%) aeiaaee?a. A
o oai?eo c neeueiith caiaeueiith ?aaeoe??th iea i?ney AAE c
?iieaioaoe??th ?IE aeniea aino?ioa ci?o (0,5 ? aeua) niinoa??aaeanue
o?eueee o 9 aeiaaeeao ?c 22, ui neeaaeaei 40,9%. I?e oeueiio a 4
aeiaaeeao (18,2%) aino?ioa ci?o o iaoe??io?a aoea ieaea 0,1.

A eiio?ieuei?e a?oi? oai?eo ia a?eiao eaoa?aeoo noa?a/a iaeoeiaeeno?io?y
aoea aieiaiith i?e/eiith iecueei? aino?ioe ci?o o a?aeaeaeai? no?iee
i?ney AAE c ?iieaioaoe??th ?IE.

Iaeiei c iae/ano?oeo oneeaaeiaiue o a?aeaeaeaiiio i?neyiia?aoe?eiiio
ia??iae? i?e AAE c ?iieaioaoe??th ?IE o oai?eo ia OeAe aoea aoi?eiia
eaoa?aeoa. *anoioa aoi?eiii? eaoa?aeoe o oai?eo ia OeAe (30,2%) a
oe?eiio aoea aeuith, i?ae o eiio?ieuei?e a?oi? (21,9%; c2=4,16; P0,05). O
eiio?ieuei?e a?oi? oai?eo ia a?eiao eaoa?aeoo e?euee?noue O-e?ioioeeo?a
aoea a iaaeao ii?ie ? neeaaeaea 1300±107 ee/iee. Anoaiiaeaii cieaeaio
ooieoe?iiaeueio aeoeai?noue O-noi?ani??a o oai?eo ia OeAe oa eaoa?aeoo ?
oea iaea?eueo ae?acii i?iyaeyeiny i?e OeAe I oeio. E?euee?noue
O-noi?ani??a o oai?eo ia OeAe I oeio neeaaeaea 162±26 ee/iee
(a??ia?aei?noue ??cieoe? c eiio?ieueiith a?oiith P10,0 mmol/l and elevated “immunoregulatory
index” (T-helpers/ T-suppressors) above 8,0 as risk factors for severe
inflammatory reaction after ECCE + IOL implantation in patients with
type II diabetes mellitus. Better results of ECCE + IOL in type II
diabetics obtained in patients without these risk factors. The thesis
recommends consideration of preoperative clinical and immunological
examination data in the management of cataract in diabetic patients.

Key words: extracapsular cataract extraction, intraocular lenses,
inflammatory reaction,immunological examination, diabetes mellitus.

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