ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2023-4-610-616ophthalmology-2228Research ArticleОБЗОРЫREVIEWSВлияние факоэмульсификации на внутриглазное давление в глазах с глаукомой. ОбзорInfluence of Phacoemulsification on Intraocular Pressure in Patients with GlaucomaВоронинГ. В.VoroninG. V.

Воронин Григорий Викторович доктор медицинских наук, профессор, ведущий научный сотрудник отдела патологии оптических сред глаза

ул. Россолимо, 11а, б, Москва, 119021

Voronin Grigory V. MD, Professor, leading researcher of the Optical media eye pathology department

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

https://orcid.org/0000-0003-0642-8262БерсункаевМ. К.BersunkaevM. K.

Берсункаев Мансур Куриевич аспирант

ул. Россолимо, 11а, б, Москва, 119021

Bersunkaev Mansur K. postgraduate

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

https://orcid.org/0000-0002-1421-8882ВолжанинА. В.VolzhaninA. V.

Волжанин Андрей Вячеславович младший научный сотрудник отдела глаукомы

ул. Россолимо, 11а, б, Москва, 119021

Volzhanin Andrey V. junior researcher of the Glaucoma department

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

ФГБНУ «Научно‑исследовательский институт глазных болезней имени М.М. Краснова»РоссияM.M. Krasnov Research Institute of Eye DiseasesRussian Federation202327122023204610616Copyright © Воронин Г.В., Берсункаев М.К., Волжанин А.В., 20232023Воронин Г.В., Берсункаев М.К., Волжанин А.В.Voronin G.V., Bersunkaev M.K., Volzhanin A.V.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/2228

Факоэмульсификация (ФЭ) — метод хирургического лечения катаракты, являющийся в настоящее время «золотым стандартом». Помимо экстракции хрусталика и имплантации интраокулярной линзы, ФЭ в большинстве случаев сопровождается изменением ВГД. В случае офтальмогипертензии или первичной открытоугольной глаукомы ВГД чаще всего снижается, однако механизм этого феномена на текущий момент полностью неизвестен. При закрытоугольной глаукоме ФЭ обеспечивает открытие угла передней камеры, что восстанавливает физиологический отток внутриглазной жидкости и приводит к стабилизации ВГД. В ряде случаев, однако, ФЭ может сопровождаться краткосрочным повышением ВГД. Точный механизм этой реакции неизвестен, однако в большинстве случаев она ассоциирована с воспалительным ответом глаза на операционную травму.

Phacoemulsification (PE) is a current ‘gold standard’ of the surgical treatment of the cataract. Apart from lens extraction and intraocular lens implantation, PE is accompanied by IOP changes in most cases. In cases of ophthalmic hypertension or primary open-angle glaucoma, IOP is most often decreased; however, the mechanism of this phenomenon is currently completely unknown. In closed-angle glaucoma, PE provides opening of the anterior chamber angle, which restores physiological outflow of intraocular fluid and leads to IOP stabilization. In some cases, however, PE may be accompanied by a short-term increase in IOP. The exact mechanism of this reaction is unknown, however, in most cases it is associated with the inflammatory response of the eye to surgical trauma.

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