ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2025-3-500-506ophthalmology-2735Research ArticleОБЗОРЫREVIEWSВыбор антиглаукомного компонента комбинированного хирургического вмешательства при катаракте и первичной открытоугольной глаукомеSelection of the Antiglaucoma Component of Combined Surgery for Cataract and Primary Open-Angle Glaucomahttps://orcid.org/0000-0003-4043-456XЮсефЮ. Н.YusefYu. N.

Юсеф Наим Юсеф - доктор медицинских наук, директор.

ул. Россолимо, 11а, б, Москва, 119021

Yusef Naim Yusef - MD, director.

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

https://orcid.org/0000-0002-8134-8089ВведенскийА. С.VvedenskiyA. S.

Введенский Андрей Станиславович - доктор медицинских наук, старший научный сотрудник.

ул. Россолимо, 11а, б, Москва, 119021

Andrej S. Vvedenskiy - MD, senior researcher.

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

vvandrew@mail.ruhttps://orcid.org/0000-0002-2001-9310ИвановМ. Н.IvanovM. N.

Иванов Михаил Николаевич - доктор медицинских наук, заместитель директора по научной работе.

ул. Россолимо, 11а, б, Москва, 119021

Michail N. Ivanov - MD, deputy director.

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

https://orcid.org/0000-0003-2450-0395ФокинаН. Д.FokinaN. D.

Фокина Наталья Дмитриевна - кандидат медицинских наук, доцент кафедры глазных болезней.

ул. Большая Пироговская, 2, стр. 4, Москва, 119991

Natalia D. Fokina - PhD, Assistant Professor of the Ophthalmoly department.

Bol’shaya Pirogovskaya str., 2/4, Moscow, 119991

https://orcid.org/0000-0003-4899-174XШколяренкоН. Ю.ShkolyarenkoN. Yu.

Школяренко Наталья Юрьевна - кандидат медицинских наук, старший научный сотрудник.

ул. Россолимо, 11а, б, Москва, 119021

Natalia Yu. Shkolyarenko - PhD, senior researcher.

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

https://orcid.org/0000-0001-7412-0994КулишК. К.KulishK. K.

Кулиш Кристина Константиновна - клинический ординатор.

ул. Россолимо, 11а, б, Москва, 119021

Кristina K. Кulish - clinical resident.

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

ФГБНУ «Научно-исследовательский институт глазных болезней имени М.М. Краснова»РоссияKrasnov Research Institute of Eye DiseaseRussian FederationФБАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияSechenov First Moscow State Medical UniversityRussian Federation202501102025223500506Copyright © Юсеф Ю.Н., Введенский А.С., Иванов М.Н., Фокина Н.Д., Школяренко Н.Ю., Кулиш К.К., 20252025Юсеф Ю.Н., Введенский А.С., Иванов М.Н., Фокина Н.Д., Школяренко Н.Ю., Кулиш К.К.Yusef Y.N., Vvedenskiy A.S., Ivanov M.N., Fokina N.D., Shkolyarenko N.Y., Kulish K.K.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/2735

В связи с увеличением продолжительности жизни и возрастанием контингента пациентов пожилого и старческого возраста повышается актуальность комбинированного хирургического лечения характерных для этого возрастного контингента заболеваний: катаракты и первичной открытоугольной глаукомы. Учитывая, что ультразвуковая факоэмульсификация стала стандартом факохирургии, при планировании комбинированного вмешательства основной задачей хирурга является адекватный выбор антиглаукомного компонента операции у пациента с катарактой и первичной открытоугольной глаукомой. По данным литературы, наилучшие результаты обеспечивают патогенетически ориентированные методики антиглаукомного компонента комбинированного вмешательства. При этом важным этапом вмешательства является интраоперационное определение уровня ретенции оттоку внутриглазной жидкости на основе исследования в ходе комбинированной операции феномена ретроградного заполнения шлеммова канала кровью, что позволяет быстро и точно определять уровень ретенции и патогенетически ориентированный антиглаукомный компонент вмешательства.

Due to the increase in life expectancy and the growth of the contingent of elderly and senile patients, the relevance of combined surgical treatment of diseases characteristic of this age group increases: cataracts and primary open-angle glaucoma. Considering that ultrasound phacoemulsification has become the standard of phaco surgery, when planning a combined surgery, the main task of the surgeon is an adequate choice of the antiglaucoma component of the operation in a patient with cataract and primary open-angle glaucoma. According to the literature the best results are achieved by pathogenetically oriented methods of the antiglaucoma component of the combined operation. In this case an important stage of the surgery is the intraoperative determination of the level of retention of the outflow of intraocular fluid based on the study of the phenomenon of retrograde filling of the Schlemm’s canal with blood during the combined operation, which allows for quick and accurate determination of the retention level and identification of the pathogenetically oriented antiglaucoma component of the operation.

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