ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2021-3S-623-629ophthalmology-1632Research ArticleСтатьиОсобенности факоэмульсификации при макулярной патологии. Часть 1. Диагностические аспектыFeatures of Phacoemulsification in Macular Pathology. Part 1. Diagnostic Aspectshttps://orcid.org/0000-0003-4043-456XЮсефЮсеф НаимYusefYusef Naim

Юсеф Наим Юсеф, доктор медицинских наук, директор, руководитель отдела современных методов лечения в офтальмологии 

ул. Россолимо, 11а, б, Москва, 119021

Yusef Naim Yusef, MD, director, head of the Modern Treatment Methods in Ophthalmology Department 

Rossolimo str., 11A, B, Moscow, 119021

ВоробьеваМ. В.VorobyevaM. V.

Воробьева Майя Вячеславовна, кандидат медицинских наук, научный сотрудник отдела современных методов лечения в офтальмологии 

ул. Россолимо, 11а, б, Москва, 119021

Vorobyeva Mayya V., РhD, research officer of the Modern Treatment Methods in Ophthalmology Department 

Rossolimo str., 11A, B, Moscow, 119021

vorobyova@mail.ruКазарянЭ. Э.KazaryanE. E.

Казарян Элина Эдуардовна, доктор медицинских наук, старший научный сотрудник отдела современных методов лечения в офтальмологии 

ул. Россолимо, 11а, б, Москва, 119021

Kazaryan Elina E., MD, senior research officer of the Modern Treatment Methods in Ophthalmology Department 

Rossolimo str., 11A, B, Moscow, 119021

ШколяренкоН. Ю.ShkolyarenkoN. Yu.

Школяренко Наталья Юрьевна, кандидат медицинских наук, старший научный сотрудник отдела современных методов лечения в офтальмологии 

ул. Россолимо, 11а, б, Москва, 119021

Shkolyarenko Natalia Yu., РhD, senior research officer of the Modern Treatment Methods in Ophthalmology Department 

Rossolimo str., 11A, B, Moscow, 119021

ФГБНУ «Научно-исследовательский институт глазных болезней»РоссияResearch Institute of Eye DiseasesRussian Federation202119102021183S623629Copyright © Юсеф Ю., Воробьева М.В., Казарян Э.Э., Школяренко Н.Ю., 20212021Юсеф Ю., Воробьева М.В., Казарян Э.Э., Школяренко Н.Ю.Yusef Y., Vorobyeva M.V., Kazaryan E.E., Shkolyarenko N.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/1632

Катаракта является наиболее распространенной причиной слепоты во всем мире. Стандарт лечения при катаракте — факоэмульсификация с имплантацией интраокулярной линзы (ИОЛ). Удаление катаракты может значительно улучшить зрение и качество жизни, связанное со зрением. Проведен обзор работ по персонифицированному подходу к факоэмульсификации у пациентов с макулярной патологией. Показана важность обследования макулы перед факоэмульсификацией катаракты. Проведен обзор изменений разных отделов глаза после факоэмульсификации у пациентов с различной патологией: с прогрессированием миотической тракции, с комбинированной катарактой и глаукомой, у пациентов с диабетом, с эпиретинальной мембраной, рассмотрены особенности имплантации мультифокальных линз и ИОЛ с защитой УФ. Оценивается не только состояние после операции, но и изменения между предоперационным и послеоперационным состояниями. Кроме того, в обзоре демонстрируются динамические процессы заживления и изменения параметров макулы (через разное время — от нескольких дней до нескольких лет), чтобы получить рациональный результат анализа.

Cataract is the most common cause of blindness worldwide. The standard treatment for cataracts is phacoemulsification with implantation of an intraocular lens (IOL). Removing cataracts can significantly improve vision and the quality of life associated with vision. The review considers the necessary biometric studies before phacoemulsification of patients with macular pathology, the long-term effects of phacoemulsification in patients with various macular pathologies, the features of implantation of mono- and multifocal IOLs in such patients, as well as possible complications after phacoemulsification in patients with macular pathology. The importance of examination of the macula before phacoemulsification of cataract has been shown. A review of changes in different eye’s parts after phacoemulsification in patients with various pathologies: with the progression of myotic traction, with combined cataract and glaucoma, in patients with diabetes, with an epiretinal membrane, and the features of implantation of multifocal lenses and IOLs with UV protection are considered. Not only the postoperative condition is assessed, but also the changes between the preoperative and postoperative conditions. In addition, the review demonstrates the dynamic healing processes and changes in macular parameters (after different times — from several days to several years) in order to obtain a rational analysis result.

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The authors declare that there are no conflicts of interest present.