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Коррекция остаточной аметропии после факоэмульсификации катаракты. Часть 1. Кераторефракционные подходы

https://doi.org/10.18008/1816-5095-2017-1-18-26

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Аннотация

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.

Об авторах

К. Б. Першин
Офтальмологический центр «Эксимер»
Россия

доктор медицинских наук, профессор, академик РАЕН, 

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



Н. Ф. Пашинова
Офтальмологический центр «Эксимер»
Россия

д.м.н., профессор, академик РАЕН, 

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



А. Ю. Цыганков
Офтальмологический центр «Эксимер»
Россия

к.м.н.,

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



Е. П. Гурмизов
Офтальмологический центр «Эксимер»
Россия

к.м.н., главный врач,

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



Л. В. Баталина
Офтальмологический центр «Эксимер»
Россия

к.м.н.,

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



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Для цитирования:


Першин К.Б., Пашинова Н.Ф., Цыганков А.Ю., Гурмизов Е.П., Баталина Л.В. Коррекция остаточной аметропии после факоэмульсификации катаракты. Часть 1. Кераторефракционные подходы. Офтальмология. 2017;14(1):18-26. https://doi.org/10.18008/1816-5095-2017-1-18-26

For citation:


Pershin K.B., Pashinova N.F., Tsygankov A.I., Gurmizov E.P., Batalina L.V. Management of Residual Refractive Error after Cataract Phacoemulsification. Part 1. Keratorefractive Approaches. Ophthalmology in Russia. 2017;14(1):18-26. (In Russ.) https://doi.org/10.18008/1816-5095-2017-1-18-26

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