Abstract:Хирургия катаракты является одним из самых динамично развивающихся направлений в офтальмологии. Стандартом современной хирургии катаракты на сегодняшний день остается метод ультразвуковой факоэмульсификации (ФЭК). Достаточно часто оперативное вмешательство может быть осложнено рядом неблагоприятных факторов: слабостью цинновых связок, высокой плотностью ядра, недостаточностью эндотелиального слоя клеток роговицы, узким ригидным зрачком, аниридией. Современная оптимизация всевозможных процессов привела к тому, … Show more
“…В современной хирургии катаракты целью имплантации ИОЛ является не только достижение максимальной некорригированной остроты зрения, но также уменьшение сферической, хроматической аберраций, действия ультрафиолетового спектра на сетчатку, улучшение контрастной чувствительности и т. д. [4]. Отсюда возникает огромное предложение монофокальных ИОЛ различных моделей, каждая из которых имеет свой набор преимуществ, заявленных производителем.…”
One of the most common surgical interventions in ophthalmology today is lens replacement surgery. But there is still no consensus on whether the choice of a monofocal IOL affects the postoperative functional outcome.The aim: to conduct a comparative analysis of values of visual acuity without correction in the early postoperative period after cataract surgery using monofocal IOLs.Material and methods. The study included data of 2643 eyes operated for cataract, into which one of the monofocal IOLs, included in the top ten most frequently implanted IOLs in the Orenburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, was implanted for the period 2019–2021. Statistical analysis was performed using the program Statistica 13.0.Results. The performed analysis of variance showed that the established differences between the compared groups are statistically signifi cant (p < 0.05). However, the subgroup analysis showed that there were statistically signifi cant differences between pairs such as Tecnis and Hydro-4; Tecnis and Rayner. In all other cases, statistically signifi cant uncorrected visual activity (UCVA) values after surgery were not established. It has also been reliably established that the presence of subluxation of the lens affects the value of UCVA after surgery.Conclusion. The results of the performed analysis in general indicate that the value of UCVA in patients in the early postoperative period after the performed surgical intervention does not depend on the manufacturer of the used IOL.
“…В современной хирургии катаракты целью имплантации ИОЛ является не только достижение максимальной некорригированной остроты зрения, но также уменьшение сферической, хроматической аберраций, действия ультрафиолетового спектра на сетчатку, улучшение контрастной чувствительности и т. д. [4]. Отсюда возникает огромное предложение монофокальных ИОЛ различных моделей, каждая из которых имеет свой набор преимуществ, заявленных производителем.…”
One of the most common surgical interventions in ophthalmology today is lens replacement surgery. But there is still no consensus on whether the choice of a monofocal IOL affects the postoperative functional outcome.The aim: to conduct a comparative analysis of values of visual acuity without correction in the early postoperative period after cataract surgery using monofocal IOLs.Material and methods. The study included data of 2643 eyes operated for cataract, into which one of the monofocal IOLs, included in the top ten most frequently implanted IOLs in the Orenburg Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, was implanted for the period 2019–2021. Statistical analysis was performed using the program Statistica 13.0.Results. The performed analysis of variance showed that the established differences between the compared groups are statistically signifi cant (p < 0.05). However, the subgroup analysis showed that there were statistically signifi cant differences between pairs such as Tecnis and Hydro-4; Tecnis and Rayner. In all other cases, statistically signifi cant uncorrected visual activity (UCVA) values after surgery were not established. It has also been reliably established that the presence of subluxation of the lens affects the value of UCVA after surgery.Conclusion. The results of the performed analysis in general indicate that the value of UCVA in patients in the early postoperative period after the performed surgical intervention does not depend on the manufacturer of the used IOL.
AIM: To perform the analysis of the age composition of patients with a planned in-patient surgical procedure cataract phacoemulsification.
MATERIALS AND METHODS: Three cohorts of patients diagnosed with age-related senile cataract were analyzed for the periods 20002003 (n = 6737), 20072009 (n = 13,015), and 20152017 (n = 1363) on the basis of age at the time of planned surgery in the ophthalmology hospital S.V. Belyaev Kuzbass Clinical Hospital. Persons with a diagnosis of congenital, complicated, traumatic cataract and persons operated as out-patients were excluded from all samples.
RESULTS: At the first stage, the average age of patients at the time of surgical treatment of patients diagnosed with senile cataract was calculated. At the second stage, the age of operated patients was analyzed by decades of human life. At the third stage, the assessment of the judgment about the rejuvenation of the age of operated patients with incipient cataract according to professional indications was carried out.
CONCLUSIONS: The average age of patients operated on with senile cataract during a fifteen-year period is a stable value in the range of 6668 years. In the dynamics from 2000 to 2017, there was a redistribution of patients with senile cataract within the cohort by age. Rejuvenation of the age composition of persons with cataracts occurred due to an increase in patients aged 5160 years by 2 times and a decrease in patients aged 7180 years by 1.6 times. The proportion of patients undergoing surgical treatment for senile cataract in a hospital setting with visual acuity of 0.1 or less is stable and amounts to 78.487.5 %.
Currently, artificial intelligence is actively being introduced into various spheres of life, and medicine is no exception. In ophthalmology, the use of artificial intelligence is very promising, given that the diagnosis and therapeutic monitoring of eye diseases often depend heavily on the correct interpretation of images. The use of artificial intelligence in ophthalmology focuses on eye diseases that lead to vision loss, such as age-related macular degeneration, diabetic retinopathy, glaucoma and cataract. Over the past few years, artificial intelligence has reached tremendous successes in the practice of ophthalmology. Many studies have shown that artificial intelligence performance is equal to and even exceeds the capabilities of ophthalmologists in many diagnostic and prognostic tasks. However, there is still a lot of work to be done before introducing artificial intelligence into routine clinical practice. Issues such as real-world performance, generalizability, and interpretability of artificial intelligence systems are still poorly understood and will require more attention in future research. Most artificial intelligence-based systems are used in developed countries, and some require further study. High costs and a shortage in doctors and equipment in some regions of the Russian Federation and rural areas make it difficult to screen for eye diseases. Although the field of artificial intelligence is underdeveloped, we hope that artificial intelligence will play an important role in the future of ophthalmology by making healthcare more efficient, accurate and accessible, especially in regions where staffing problems exist.
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