ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2021-3S-654-659ophthalmology-1636Research ArticleСтатьиВлияние ортокератологических линз на структуры глазаInfluence of Orthokeratology Lenses on the Structure of the Eyehttps://orcid.org/0000-0003-1721-9378БубноваИ. А.BubnovaI. A.

Бубнова Ирина Алексеевна, доктор медицинских наук, старший научный сотрудник отдела патологии оптических сред 

ул. Россолимо, 11а, б, Москва, 119021

Bubnova Irina A., MD, senior science researcher of the Optical media pathology department 

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

bubnovai@mail.ruhttps://orcid.org/0000-0002-1760-3313МусаеваГ. М.MusaevaG. M.

Мусаева Гулия Мусаевна, ассистент кафедры глазных болезней ИКМ им. Н.В. Склифосовского 

ул. Трубецкая, 8, стр. 2, Москва, 119991

Musaeva Guliya M., assistant of the Eye diseases department 

Trubetskaya str., 8-2, Moscow, 119991

ФГБНУ «Научно-исследовательский институт глазных болезней»РоссияResearch Institute of Eye DiseasesRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет им. И. М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University)Russian Federation202119102021183S654659Copyright © Бубнова И.А., Мусаева Г.М., 20212021Бубнова И.А., Мусаева Г.М.Bubnova I.A., Musaeva G.M.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/1636

В данном обзоре литературы описывается влияние, которое ортокератологические линзы оказывают на различные структуры глаза, поскольку применение данных линз, помимо ожидаемых изменений, может вызывать и нежелательные явления. К позитивным моментам относятся остановка или замедление прогрессирования миопии, а также временное улучшение некорригированной остроты зрения за счет изменения формы передней поверхности роговицы. Нежелательными моментами являются изменение гомеостаза слезной пленки, эпителиопатия, «прилипание» линзы. Помимо этого, встречаются появление пигментной дуги, фибриллярных линий, транзиторное изменение биомеханических свойств роговицы. Вместе с тем данные изменения не влияют на зрительные функции и здоровье глаз, более того, они обратимы. При этом сроки восстановления различных структур глаза могут составлять от нескольких недель до нескольких месяцев в зависимости от длительности лечения и целевой рефракции. Таким образом, применение ортокератологических линз является безопасным и эффективным методом коррекции и «контроля» миопии.

This literature review describes the effect that orthokeratology lenses render on various eye’s structures. The use of these lenses, in addition to the expected changes can cause undesirable effects. The positive aspects include stopping or slowing the myopia’s progression, as well as a temporary improvement of uncorrected visual acuity by changing the shape of the anterior surface of the cornea. Undesirable moments are a change in the homeostasis of the tear film, epitheliopathy, the lens binding, in addition, there is the appearance of an iron arch, an increase in the visibility of fibrillary lines, a transient change in the biomechanical properties of the cornea. On the positive side, these changes do not affect visual function and eye health; moreover, they are reversible. At the same time, the terms of recovery of various structures of the eye can differ from several weeks to several months, depending on the duration of treatment and the target refraction. Thus, the use of orthokeratology lenses is a safe and effective method for correcting and “controlling” myopia.

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