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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ophthalmology</journal-id><journal-title-group><journal-title xml:lang="ru">Офтальмология</journal-title><trans-title-group xml:lang="en"><trans-title>Ophthalmology in Russia</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1816-5095</issn><issn pub-type="epub">2500-0845</issn><publisher><publisher-name>Ophthalmology</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18008/1816-5095-2022-2-280-285</article-id><article-id custom-type="elpub" pub-id-type="custom">ophthalmology-1844</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Медико-технические подходы к энергетической хирургии катаракты: современное состояние вопроса</article-title><trans-title-group xml:lang="en"><trans-title>Medical and Technical Approaches to Cataract Energy Surgery: Current Status of the Issue</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1796-8248</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Азнабаев</surname><given-names>Б. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Aznabaev</surname><given-names>B. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, заведующий кафедрой, ул. Ленина, 3, Уфа, 450008;</p><p>генеральный директор, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>MD, Professor, Lenina str., 3, Ufa, 450008;</p><p>head of Department, 50 let SSSR str., 8, Ufa, 450059</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7448-6037</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дибаев</surname><given-names>Т. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Dibaev</surname><given-names>T. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, доцент кафедры, ул. Ленина, 3, Уфа, 450008;</p><p>офтальмолог, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>MD, Assistant Professor, Lenina str., 3, Ufa, 450008;</p><p>ophthalmologist, 50 let SSSR str., 8, Ufa, 450059</p></bio><email xlink:type="simple">dibaev@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5043-0429</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мухаметов</surname><given-names>Р. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Mukhametov</surname><given-names>R. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>заочный аспирант кафедры, ул. Ленина, 3, Уфа, 450008;</p><p>офтальмолог, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>postgraduate, Lenina str., 3, Ufa, 450008;</p><p>оphthalmologist, 50 let SSSR str., 8, Ufa, 450059</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мухамадеев</surname><given-names>Т. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Mukhamadeev</surname><given-names>T. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор кафедры, ул. Ленина, 3, Уфа, 450008;</p><p>офтальмолог, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>MD, Professor of the Chair of Ophthalmology, Lenina str., 3, Ufa, 450008;</p><p>ophthalmologist, 50 let SSSR str., 8, Ufa, 450059</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4849-7354</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Идрисова</surname><given-names>Г. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Idrisova</surname><given-names>G. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ассистент кафедры, ул. Ленина, 3, Уфа, 450008;</p><p>офтальмолог, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>assistant, Lenina str., 3, Ufa, 450008;</p><p>оphthalmologist, 50 let SSSR str., 8, Ufa, 450059</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0541-3248</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Вафиев</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vafiev</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>старший лаборант кафедры, ул. Ленина, 3, Уфа, 450008;</p><p>офтальмолог, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>senior laboratory assistant, Lenina str., 3, Ufa, 450008;</p><p>оphthalmologist, 50 let SSSR str., 8, Ufa, 450059</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4132-4979</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исмагилов</surname><given-names>Т. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Ismagilov</surname><given-names>T. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор кафедры, ул. Ленина, 3, Уфа, 450008;</p><p>офтальмолог, ул. 50 лет СССР, 8, Уфа, 450059</p></bio><bio xml:lang="en"><p>clinical resident, Lenina str., 3, Ufa, 450008;</p><p>оphthalmologist, 50 let SSSR str., 8, Ufa, 450059</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ «Башкирский государственный медицинский университет» Министерства здравоохранения Российской Федерации;&#13;
ЗАО «Оптимедсервис»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University;&#13;
“Optimedservis”, CJSC</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ «Башкирский государственный медицинский университет» Министерства здравоохранения Российской Федерации;&#13;
ЗАО «Оптимедсервис»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bashkir State Medical University;&#13;
“Optimedservis”, CJSCv</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>30</day><month>06</month><year>2022</year></pub-date><volume>19</volume><issue>2</issue><fpage>280</fpage><lpage>285</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Азнабаев Б.М., Дибаев Т.И., Мухаметов Р.Г., Мухамадеев Т.Р., Идрисова Г.М., Вафиев А.С., Исмагилов Т.Н., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Азнабаев Б.М., Дибаев Т.И., Мухаметов Р.Г., Мухамадеев Т.Р., Идрисова Г.М., Вафиев А.С., Исмагилов Т.Н.</copyright-holder><copyright-holder xml:lang="en">Aznabaev B.M., Dibaev T.I., Mukhametov R.G., Mukhamadeev T.R., Idrisova G.M., Vafiev A.S., Ismagilov T.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.ophthalmojournal.com/opht/article/view/1844">https://www.ophthalmojournal.com/opht/article/view/1844</self-uri><abstract><p>Баланс между эффективностью разрушения хрусталика и безопасностью этого процесса для внутриглазных структур является важнейшим аспектом при поиске альтернативных энергетических подходов в хирургии катаракты. В статье приводится обзор литературы, обобщающий современные медико-технические решения, которые направлены на разработку новых и эффективных методик факоэмульсификации катаракты. Одной из основных составляющих хирургии катаракты является баланс между эффективностью ультразвукового разрушения хрусталика и безопасностью этого процесса для внутриглазных структур. Большинство имеющихся технических решений, призванных заменить ультразвук, пока не позволяют осуществить это в полной мере, так как обладают недостаточной разрушающей способностью или являются технологически сложными и дорогостоящими, что затрудняет их массовое внедрение в широкую практику. В связи с этим актуальным является поиск альтернативных энергетических подходов, направленных на повышение эффективности разрушения хрусталика без усиления негативных эффектов, связанных с увеличением дозы ультразвука. </p></abstract><trans-abstract xml:lang="en"><p>The balance between the efficiency of lens’ destruction and the safety of this process for intraocular structures is the most important aspect in the search for alternative energy approaches in cataract surgery. The article provides a literature review summarizing modern medical and technical solutions aimed at developing new and effective methods of cataract phacoemulsification. One of the main components of cataract surgery is the balance between the effectiveness of ultrasound destruction of the lens and the safety of this process for intraocular structures. Most of the available technical solutions designed to replace ultrasound do not yet allow this to be fully implemented, since they have insufficient destructive power or are technologically complex and expensive, which makes it difficult for their mass introduction into widespread practice. In this regard, it is urgent to search for alternative energy approaches aimed at increasing the efficiency of destruction without increasing the negative effects associated with an increase in ultrasound dose. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>ультразвуковая факоэмульсификация</kwd><kwd>катаракта</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ultrasonic phacoemulsification</kwd><kwd>cataract</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Brian G., Taylor H. Cataract blindness — challenges for the 21 century. 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