MEDICAL ECONOMIC EFFECTIVENESS OF EARLY VITREORETINAL SURGERY IN THE SYSTEM OF SPECIALTY AND HIGH-TECHNOLOGY MEDICAL CARE IN PATIENTS WITH EYE TRAUMA IN THE CHUVASH REPUBLIC

Objective: to assess the clinical and medical effectiveness of early or early delayed combined microinvasive vitreoretinal interventions using 23-27 G technologies during primary hospitalization of patients with severe eye trauma. Materials and methods. Since 2012, the clinic has developed a concept for early and early delayed combined phaco-vitreo surgery as part of the initial hospitalization of patients with penetrating and contusion eye injuries, including injuries with the presence of various foreign bodies. Results of the study. The clinical component of early combined phaco-vitreo surgery was determined by significantly higher anatomical and functional results. In the complex treatment of patients using the techniques of early and early delayed vitreoretinal 23-27 G and combined phaco-vitreo surgery during one hospitalization, the cost of direct and indirect costs per patient was 63,000 rubles and included 1.6 hospitalizations. Conclusion. Tactics of early and early delayed high-technology combined minimally invasive phaco-vitreo 23-27 G surgery of severe traumatic eye injuries during primary hospitalization allows to obtain significantly higher functional and anatomical results of treatment, to reduce the risk of post-traumatic complications, to reduce by 30% the total number of hospitalizations and by 30% the total cost of treatment in comparison with the tactics of minimal primary surgery and the implementation of vitreoretinal and combined phaco-vitreo operations in the long term (bibliography: 4 refs).

eye trauma, medical and economic effective- ness, organization of ophthalmotraumatological care, Republican Clinical Ophthalmology Hospital of the Ministry of Health of the Chuvash Republic, vitreoretinal surgery