The Maintenance Algorithm of Patients with Myopia and the Risk of Asthenopia after Keratorefractive Surgery
https://doi.org/10.18008/1816-5095-2020-3S-610-616
Abstract
Purpose. To develop a step-by-step algorithm for managing patients with myopia and the risk of developing asthenopia after keratorefractive surgery (KRS) to optimize the work of the ophthalmologist and increase patient satisfaction with the results of the operation.
Materials and methods. 66 patients (132 eyes) with moderate to high myopia were examined. The special research methods needed to create an algorithm for managing patients with myopia and the risk of developing asthenopia after corneal surgery were the study of binocular vision, fusional reserves, and a cover/uncover test to identify heterophoria and heterotropy.
Results. Based on the identified of PA predictors development and the developed course of functional treatment of accommodation and binocular function disorders in patients with moderate and high myopia, after CLRS, a step-by-step algorithm was developed for managing patients with myopia and the risk of developing PA.
Conclusion. Optimization of the ophthalmologist’s work and an increase the patient’s satisfaction with the
results of excimer laser corneal surgery.
About the Authors
I. A. Mushkova
The S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
MD, PhD, head of the refractive laser surgery department
Beskudnikovsky blvd, 59а, Moscow, 127486, Russian Federation
N. V. Maychuk
The S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
PhD, senior researcher
Beskudnikovsky blvd, 59а, Moscow, 127486, Russian Federation
E. Yu. Markova
The S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
MD, PhD, head of the microsurgery and functional rehabilitation eye department in children
Beskudnikovsky blvd, 59а, Moscow, 127486, Russian Federation
L. T. Shamsetdinova
The S. Fyodorov Eye Microsurgery Federal State Institution
Russian Federation
Russian Federation
postgraduate
Beskudnikovsky blvd, 59а, Moscow, 127486, Russian Federation
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Review
For citations:
Mushkova I.A., Maychuk N.V., Markova E.Yu., Shamsetdinova L.T. The Maintenance Algorithm of Patients with Myopia and the Risk of Asthenopia after Keratorefractive Surgery. Ophthalmology in Russia. 2020;17(3s):610-616. (In Russ.) https://doi.org/10.18008/1816-5095-2020-3S-610-616
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