ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2017-2-106-112ophthalmology-370Research ArticleОБЗОРЫREVIEWSКОРРЕКЦИЯ ОСТАТОЧНОЙ АМЕТРОПИИ ПОСЛЕ ФАКОЭМУЛЬСИФИКАЦИИ КАТАРАКТЫ. ЧАСТЬ 2. ИНТРАОКУЛЯРНЫЕ ПОДХОДЫMANAGEMENT OF RESIDUAL REFRACTIVE ERROR AFTER CATARACT PHACOEMULSIFICATION. PART 2. INTRAOCULAR APPROACHESПершинК. Б.PershinK. B.

Першин Кирилл Борисович — доктор медицинских наук, профессор, академик РАЕН.

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

Pershin Kirill B. — PhD, professor.

Marksistskaya str. 3/1, Moscow, 109147

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

Пашинова Надежда Федоровна — доктор медицинских наук, профессор, академик РАЕН.

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

Pashinova Nadezhda F.— PhD, professor.

Marksistskaya str. 3/1, Moscow, 109147

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

Цыганков  Александр Юрьевич — кандидат медицинских наук.

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

Tsygankov Aleksandr Iu. — MD.

Marksistskaya str. 3/1, Moscow, 109147

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

Гурмизов Евгений Петрович  — кандидат медицинских наук, главный врач.

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

Gurmizov Evgenij P. — MD, chief medical officer.

Marksistskaya str. 3/1, Moscow, 109147

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

Баталина Лариса Владимировна  — кандидат медицинских наук.

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

Batalina Larisa V. — MD.

Marksistskaya str. 3/1, Moscow, 109147

Larissa_bat@mail.ruОфтальмологический центр «Эксимер»РоссияExcimer Eye CentreRussian Federation201702072017142106112Copyright © 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/370

В обзоре, состоящем из двух частей, представлен анализ  литературных  данных по хирургическим методам коррекции  остаточной 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 большую 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  safet y  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 predictabilit y 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.