ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2024-2-238-247ophthalmology-2352Research ArticleОБЗОРЫREVIEWSХирургическое лечение катаракты, осложненной хроническим увеитом. Обзор литературыSurgical Treatment of Cataracts Complicated by Chronic Uveitis. Literature Reviewhttps://orcid.org/0000-0001-8672-6651СафоноваО. В.SafonovaO. V.

Сафонова Ольга Владимировна, заведующая отделением функциональной диагностики и лечебного контроля

ул. Академика Бардина, 4а, Екатеринбург, 620146

Safonova Olga V. Head the of Functional Diagnostics and Treatment Control Department 

Bardin str., 4a, Ekaterinburg, 620146

https://orcid.org/0000-0003-4931-8266ШиловскихО. В.ShilovskikhO.

Шиловских Олег Владимирович, кандидат медицинских наук, генеральный директор

ул. Академика Бардина, 4а, Екатеринбург, 620146

Shilovskikh Oleg V. PhD, General Director

Bardin str., 4a, Ekaterinburg, 620146

https://orcid.org/0000-0001-9569-5906КазайкинВ. Н.KazaikinV. N.

Казайкин Виктор Николаевич доктор медицинских наук, ведущий научный сотрудник

ул. Академика Бардина, 4а, Екатеринбург, 620146

Kazaikin Viktor N. MD, Leading Researcher

Bardin str., 4a, Ekaterinburg, 620146

АО «Екатеринбургский центр МНТК “Микрохирургия глаза”»РоссияEye Microsurgery Ekaterinburg CenterRussian Federation202426062024212238247Copyright © Сафонова О.В., Шиловских О.В., Казайкин В.Н., 20242024Сафонова О.В., Шиловских О.В., Казайкин В.Н.Safonova O.V., Shilovskikh O., Kazaikin V.N.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/2352

Проблема хирургического лечения катаракты у пациентов с хроническим увеитом является актуальной в связи с высокой долей интра­- и послеоперационных осложнений, несмотря на развитие современных микроинвазивных технологий. Сопутствующие осложнения хронического увеита (спаечный процесс в переднем отделе глаза, вторичная глаукома, помутнения стекловидного тела, кистозный макулярный отек и т.д.), трудности имплантации интраокулярной линзы, необходимость медикаментозного сопровождения и последующей реабилитации пациентов осложняют хирургию, при этом многие вопросы остаются дискутабельными. Позднее обращение пациентов за хирургической помощью, тяжесть и длительность воспалительного процесса способствуют необратимым изменениям в сетчатке, что приводит к невысоким функциональным результатам хирургии. Разработка хирургических технологий, способствующих минимизации риска интра-­ и послеоперационных осложнений, является на сегодня актуальной.

The problem of surgical treatment of cataracts in patients with chronic uveitis is relevant due to a high proportion of intra­ and postoperative complications, despite the development of modern microinvasive technologies. Associated complications of chronic uveitis (adhesions in the anterior eye segment, secondary glaucoma, vitreous opacities, cystoid macular edema, etc.), difficulties in intraocular lens implantation, the need for pharmacological support and subsequent rehabilitation of patients complicate surgery, while many issues remain controversial. Late patients’ recourse for medical aid, severity and duration of the inflammatory process contribute to irreversible changes in the retina, which results in poor functional results of surgery. The development of surgical technologies minimizing the risk of intra­ and postoperative complications is relevant today.

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