ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2018-3-287-293ophthalmology-689Research ArticleКЛИНИЧЕСКИЕ И ЭКСПЕРИМЕНТАЛЬНЫЕ ИССЛЕДОВАНИЯCLINICAL & EXPERIMENTAL RESEARCHРезультаты морфометрической оценки макулярной зоны при врожденной катарактеThe Results of Morphometric Assessment of the Macular Zone in Congenital CataractКатаргинаЛ. А.KatarginaL. A.

Катаргина Людмила Анатольевна профессор, доктор медицинских наук 

Участие автора — идея и дизайн исследования, разработка концепции, редактирование текста

Katargina Lyudmila A. MD, professor

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062

КругловаТ. Б.KruglovaT. B.

Круглова Татьяна Борисовна доктор медицинских наук 

Участие автора — контроль соблюдения условий исследования, обеспечение материально-технической составляющей исследования, редактирование текста

Kruglova Tatiana B. MD

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062

АрестоваН. Н.ArestovaN. N.

Арестова Наталия Николаевна доктор медицинских наук 

Участие автора — подбор пациентов, обеспечение материально-технической составляющей исследования

Arestova Natalia N. MD

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062

ТрифоноваО. Б.TrifonovaO. B.

Трифонова Ольга Борисовна врач-офтальмолог 

Участие автора — подбор пациентов, сбор и статистическая обработка материала, написание текста, подготовка иллюстраций, работа с литературой

Trifonova Olga B. ophthalmologist

Sadovaya-Chernogryazskaya str., 14/19, Moscow, 105062

ФГБУ «Московский научно-исследовательский институт глазных болезней имени Гельмгольца» Министерства здравоохранения Российской ФедерацииРоссияMoscow Helmholtz Research Institute of Eye DiseasesRussian Federation201804102018153287293Copyright © Катаргина Л.А., Круглова Т.Б., Арестова Н.Н., Трифонова О.Б., 20182018Катаргина Л.А., Круглова Т.Б., Арестова Н.Н., Трифонова О.Б.Katargina L.A., Kruglova T.B., Arestova N.N., Trifonova O.B.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/689

Purpose: to study the morphological characteristics of the macular zone using optical coherence tomography to assess its development in congenital cataract. Patients and methods: a comprehensive ophthalmological examination was performed in 147 children (269 eyes) aged 1 to 15 years, including, along with traditional methods, optical coherence tomography on the Spectralis HRA + OCT instrument, Heidelberg Engineering. Of these, 193 eyes were with pseudophakia after the removal of congenital cataracts in children aged 2 months to 14 years, 18 eyes with aphakia after the removal of congenital cataracts in children aged 2 months to 11 years, 20 unoperated eyes with partial forms of congenital cataracts and 38 paired conditionally healthy eyes in children with unilateral congenital cataracts. Visual evaluation of linear tomograms, measurement of 5 parameters of the central zone of the fundus and calculation of the macular index were performed. Results: various features of the macular zone were revealed: changes in the macular contour, lamellar structure of the retina, thinning of the choroid, and elements of epiretinal fibrosis. Evaluation of retinal differentiation with the help of a macular index, calculated on the basis of morphometric characteristics, revealed its violations in 52.8 % of cases, which was not always revealed in the visual analysis of tomograms. The best morphometric parameters of the central zone of the fundus are noted in the eyes with pseudophakia in comparison with aphakia (p < 0.05). Conclusion: there is a variability in the state of the macula. In patients with congenital cataracts. Better indicators of the central zone of the fundus in front of the eye with pseudophakia in comparison with aphakia justify the feasibility of performing surgical treatment of congenital cataracts simultaneously with the implantation of the intraocular lens, including in infants. Thinning of the choroid in the subfoveiolar zone with congenital cataract may indicate a violation of trophism and exert additional influence on the physiological development of the macular zone.

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