ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2025-3-494-499ophthalmology-2723Research ArticleОБЗОРЫREVIEWSЦиклоторсия и бинокулярные функции при рефракционных операциях LASIK и SMILE. ОбзорThe Relationship Between Cyclotorsion and Binocular Functions After Vision Correction with LASIK and SMILE: A Literature ReviewШиловаТ. Ю.ShilovaT. Yu.

Шилова Татьяна Юрьевна - доктор медицинских наук, руководитель клиники.

ул. Мосфильмовская, 74, Москва, 119333

Tatyana Yu. Shilova - MD, head of the Clinic.

Mosfilmovskaya str., 74B, Moscow, 119333

shilovamd@gmail.comШиловаМ. А.ShilovaM. A.

Шилова Мария Алексеевна – офтальмолог.

ул. Мосфильмовская, 74, Москва, 119333

Maria А. Shilova – ophthalmologist.

Mosfilmovskaya str., 74B, Moscow, 119333

Клиника лазерной коррекции зрения доктора ШиловойРоссияDr. Shilova's Laser Vision Correction ClinicRussian Federation202501102025223494499Copyright © Шилова Т.Ю., Шилова М.А., 20252025Шилова Т.Ю., Шилова М.А.Shilova T.Y., Shilova M.A.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/2723

Рефракционные операции LASIK (лазерный кератомилез) и SMILE (лентикулярная экстракция через малый разрез) произвели революцию в коррекции зрения, однако их влияние на глазную динамику — особенно на циклоторсию и бинокулярные функции — остается важной областью исследований. Данный обзор литературы представляет современные данные из PubMed, Google Scholar и ResearchGate, касающиеся сложного взаимодействия между циклоторсией и бинокулярным зрением после этих процедур, уделяя особое внимание клиническим результатам, технологическим достижениям и нерешенным проблемам в этой области. Компенсация циклоторсии имеет решающее значение для оптимальных зрительных результатов после рефракционных операций LASIK и SMILE. Перспективными решениями могут быть разработки, включающие эллиптические дизайны лоскутов в LASIK (например, EAGLE Vision), улучшенные алгоритмы регистрации циклоторсии, интеграция искусственного интеллекта для компенсации циклоторсии в режиме реального времени. В то время как продвинутые системы отслеживания LASIK предлагают превосходный контроль торсионных движений, бесклапанный подход SMILE обеспечивает лучшее сохранение биомеханики роговицы и уменьшение проявлений синдрома сухого глаза — ключевых факторов восстановления бинокулярных функций.

Refractive surgeries have transformed vision correction, yet their effects on ocular dynamics — particularly cyclotorsion and binocular functions — require thorough examination. This review analyzes current evidence from PubMed, Google Scholar, and ResearchGate regarding the interaction between these factors following LASIK and SMILE procedures. Compensation of cyclotorsion is critical for optimal visual outcomes after LASIK and SMILE refractive surgeries. Promising solutions may include developments that include elliptical flap designs in LASIK (e.g. EAGLE Vision), improved cyclotorsion registration algorithms, and integration of artificial intelligence for real-time cyclotorsion compensation. While advanced LASIK tracking systems offer superior control of torsional movements, the valveless SMILE approach provides better preservation of corneal biomechanics and reduction of dry eye syndrome manifestations — key factors in the restoration of binocular functions.

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