ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2017-1-18-26ophthalmology-349Research ArticleОБЗОРЫREVIEWSКоррекция остаточной аметропии после факоэмульсификации катаракты. Часть 1. Кераторефракционные подходыManagement of Residual Refractive Error after Cataract Phacoemulsification. Part 1. Keratorefractive ApproachesПершинК. Б.PershinK. B.

доктор медицинских наук, профессор, академик РАЕН, 

ул. Марксистская, 3, стр. 1, Москва, 109147

PhD, professor,

Marksistskaya str. 3/1, Moscow, 109147

kpershin@mail.ruПашиноваН. Ф.PashinovaN. F.

д.м.н., профессор, академик РАЕН, 

 ул. Марксистская, 3, стр. 1, Москва, 109147

PhD, professor,

Marksistskaya str. 3/1, Moscow, 109147

pashinovan@mail.ruЦыганковА. Ю.TsygankovA. Iu.

к.м.н.,

 ул. Марксистская, 3, стр. 1, Москва, 109147

MD,

Marksistskaya str. 3/1, Moscow, 109147

alextsygankov1986@yandex.ruГурмизовЕ. П.GurmizovE. P.

к.м.н., главный врач,

 ул. Марксистская, 3, стр. 1, Москва, 109147

MD, chief medical officer,

Marksistskaya str. 3/1, Moscow, 109147

egurmiz@mail.ruБаталинаЛ. В.BatalinaL. V.

к.м.н.,

 ул. Марксистская, 3, стр. 1, Москва, 109147

MD,

Marksistskaya str. 3/1, Moscow, 109147

Larissa_bat@mail.ruОфтальмологический центр «Эксимер»РоссияExcimer Eye CentreRussian Federation2017290320171411826Copyright © Першин К.Б., Пашинова Н.Ф., Цыганков А.Ю., Гурмизов Е.П., Баталина Л.В., 20172017Першин К.Б., Пашинова Н.Ф., Цыганков А.Ю., Гурмизов Е.П., Баталина Л.В.Pershin K.B., Pashinova N.F., Tsygankov A.I., Gurmizov E.P., Batalina L.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/349

В обзоре, состоящем из двух частей, представлен анализ литературных данных по хирургическим методам коррекции остаточной псевдофакичной аметропии после факоэмульсификации катаракты. Подробно рассмотрены кераторефракционные и интраокулярные подходы. Проведено сопоставление эффективности и безопасности различных групп методов на примере сравнительных исследований. Исторически более ранние кераторефракционные методы (лазерная коррекция зрения методами LASIK и ФРК на интактных глазах, LASIK после имплантации мультифокальных ИОЛ и аркуатная кератотомия после ФЭК) показаны для коррекции астигматической аметропии и небольшой сферической аметропии. Интраокулярные методы, включающие замену ИОЛ и имплантацию «piggyback» ИОЛ, применяются для коррекции большой сферической аметропии. Внедрение новой технологии — имплантации светорегулируемых (light-adjustable) ИОЛ позволит расширить существующие показания и обеспечить бо´льшую прогнозируемость и эффективность метода коррекции остаточной аметропии.

The review presents an analysis of the literature data on the methods of surgical correction of residual refractive error after cataract phacoemulsification. Keratorefractive and intraocular approaches are considered in details. A comparison of the efficacy and safety of different groups of methods on the example of comparative studies is given. Historically earlier keratorefractive methods (laser vision correction with LASIK and PRK techniques on intact eyes, LASIK after implantation of multifocal IOLs and arcuate keratotomy after phaco) are indicated for the correction of astigmatic refractive error and a small spherical refractive error. Intraocular methods, including the replacement of the IOL and “piggyback” IOLs implantation are used to correct a large spherical refractive error. The introduction of new technology, the implantation of light-adjustable IOLs, will expand the existing evidence and provide greater predictability and efficiency of the method of correction of residual refractive error.

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