Russian Military Medical Academy ReportsRussian Military Medical Academy Reports2713-23152713-2323Eco-Vector1418810.17816/rmmar14188Research ArticleCLINICAL VARIANTS OF VITREOPAPILLARY TRACTION SYNDROME IN PATIENTS WITH PROLIFERATIVE DIABETIC RETINOPATHYBabaevaD B-ShishkinM M-N. I. Pirogov National medical surgical center15062018372475020062019Copyright © 2018, Babaeva D.B., Shishkin M.M.2018We observed 60 patients with diabetic vitreopapillary traction syndrome. Depending on clinical implications of vitreopapillary traction syndrome patients were divided into 3 groups: I group - 28 patients with the isolatedvitreopapillary traction syndrome; II group - 27 patients with a vitreopapillomacular traction syndrome; III group - 5 patients with a vitreopapilloretinal traction syndrome with involvement of other departments of retina. All patients examined with А-scan, B-scan kinetic ultrasonography, optical coherence tomography, perimetry and underwent 25 G vitrectomy. The preliminary results of our observations demonstrate that diabetic vitreopapillary traction syndrome at patients in the form of three topographical options with not only involvement of the optic nerve, but also other departments of retina. Timely diagnostics, well-timed vitreoretinal surgery to patients with diabetic vitreopapillary traction syndrome can prevent the involvement of other departments of the retina in this pathological process and stop the progression of the proliferative process. Our assumption about the possible reason for the different flow of the VPTS may be due to the different axial length (1 figure, bibliography: 7 refs).diabetic retinopathyvitreopappilary traction syndromevitreoretinal surgeryвитреопапиллярный тракционный синдромвитреоретинальная хирургиядиабетическая ретинопатия[Султанов М. Ю., Гаджиев Р. В. Особенности течения диабетической ретинопатии при близорукости. Вестник офтальмологии. 1990; 106 (1): 55-9.][Пшеничнов М. В., Сорокин Е. Л. Поиски возможностей прогнозирования диабетического макулярного отека у больных сахарным диабетом 2-го типа. В сб.: Современные технологии лечения витреоретинальной патологии: материалы конференции. М.; 2008: 142-5.][Haroon Tayyab, Muhammad Ali Haider, Syed Ali Haider Bukhari Shaheed. Axial myopia and its influence on diabetic retinopathy. Journal of the College of Physicians and Surgeons Pakistan. October 2014; 24 (10): 728-31).][Man R. E. K., Sasongko M. B., Sanmugasundram S., Nicolaou T., Jing X., Wang J. J., Wong T. Y., Lamoureux E. L. Longer axial length is protective of diabetic retinopathy and macular edema. Ophthalmology. 2012; 119: 1754-9.][Юлдашева Н. М. Пролиферативная диабетическая ретинопатия: новые аспекты патогенеза, обоснование системы щадящей витреоретинальной хирургии и комплексной фармакотерапии. Автореф. дис. … докт. мед. наук. М.; 2014: 17-18.][Pendergast S. D., Martin D. F., Proia A. D., Jaffe G. J., McCuen B. W. Removal of optic disc stalks during diabetic vitrectomy. Retina. 1995; 15: 25-8).][Kroll P., Wiegand W., Schmidt J. C. Vitreopapillary traction in proliferative diabetic vitreoretinopathy. Br. J. Ophthalmol. 1999; 83: 261-4.]