urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/umj.25.3.59KIIMZJurmj-2231Research ArticleОригинальные статьи | Original articlesOriginal articlesОценка аберраций высшего порядка у пациентов с артифакией и астероидным гиалозомEvaluation of Higher-Order Aberrations in Patients with Artiphakia and Asteroid Hyalosishttps://orcid.org/0000-0002-2535-0838ДаниловА. М.DanilovA. M.

Алексей Михайлович Данилов — офтальмолог 1 квалификационной категории офтальмологического отделения, поликлиника 

Екатеринбург 

Alexey M. Danilov — Ophthalmologist 1st Qualification Category of the Ophthalmology Department, Polyclinic 

Ekaterinburg 

lexaugma@gmail.comhttps://orcid.org/0000-0003-1968-5655ГриневА. Г.GrinevA. G.

Андрей Григорьевич Гринев — доктор медицинских наук, заведующий отделением офтальмологическим № 1, стационар, Свердловская областная клиническая больница № 1; доцент кафедры офтальмологии, институт хирургии, Уральский государственный медицинский университет 

Екатеринбург 

Andrey G. Grinev — Doctor of Sciences (Medicine), Head of the 1st Ophthalmology Department, Inpatient Unit, Sverdlovsk Regional Clinical Hospital No. 1; Associate Professor of the Department of Ophthalmology, Institute of Surgery, Ural State Medical University 

Ekaterinburg 

eyegrin@mail.ruhttps://orcid.org/0000-0001-5227-9398ТитаренкоЕ. М.TitarenkoE. M.

Елена Михайловна Титаренко — кандидат медицинских наук, офтальмолог отделения функциональной диагностики и лечебного контроля, заведующий отделом по работе с ординаторами 

Екатеринбург 

Elena M. Titarenko — Candidate of Sciences (Medicine), Ophthalmologist of the Department of Functional Diagnostics and Treatment Monitoring, Head of the Resident Relations Department 

Ekaterinburg 

Titarenko@eyeclinic.ruСвердловская областная клиническая больница № 1РоссияSverdlovsk Regional Clinical Hospital No. 1Russian FederationСвердловская областная клиническая больница № 1; Уральский государственный медицинский университетРоссияSverdlovsk Regional Clinical Hospital No. 1; Ural State Medical UniversityRussian FederationЕкатеринбургский центр МНТК «Микрохирургия глаза»РоссияIRTC Eye Microsurgery Ekaterinburg CenterRussian Federation20260207202625359–70Copyright © Данилов А.М., Гринев А.Г., Титаренко Е.М., 20262026Данилов А.М., Гринев А.Г., Титаренко Е.М.Danilov A.M., Grinev A.G., Titarenko E.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/2231Актуальность

Актуальность. Астероидный гиалоз — хроническое дегенеративное состояние стекловидного тела неясной этиологии, сопровождающееся отложением кальций-фосфолипидных комплексов на коллагеновом каркасе стекловидного тела. Несмотря на то, что астероидный гиалоз часто протекает бессимптомно, после экстракции катаракты пациенты могут жаловаться на снижение субъективного качества зрения. Среди научных публикаций отсутствуют исчерпывающие данные об исследовании аберраций высшего порядка у пациентов с астероидным гиалозом.

Цель работы — исследовать влияние астероидного гиалоза на аберрации высшего порядка у пациентов с артифакией как возможного показания к факовитрэктомии.

Материалы и методы

Материалы и методы. На базе офтальмологического отделения Свердловской областной клинической больницы № 1 после предварительно выполненных стандартных методов диагностики выполнено хирургическое лечение катаракты у 12 пациентов с сопутствующим диагнозом «астероидный гиалоз». Через 1 месяц от операции всем пациентам выполнена аберрометрия при помощи анализатора зрительной функции iTrace. Полученные результаты диагностики подвергнуты анализу и статистической обработке.

Результаты

Результаты. Результаты аберрометрии и ультразвукового исследования показали наличие корреляции между плотностью астероидных телец в стекловидном теле и уровнем внутренних аберраций высшего порядка.

Заключение

Заключение. Выявленная зависимость между плотностью астероидных телец в стекловидном теле и степенью влияния на внутренние аберрации высшего порядка углубляет понимание патогенеза астероидного гиалоза и может служить основанием для пересмотра показаний к факовитрэктомии у пациентов с сочетанной возрастной катарактой и астероидным гиалозом, особенно в случаях выраженных аберраций. 

Relevance

Relevance. Asteroid hyalosis is a chronic degenerative condition of the vitreous body of unknown etiology, accompanied by the deposition of calcium phospholipid complexes on the collagen framework of the vitreous body. Despite the fact that asteoid hyalosis often occurs without symptoms, after cataract extraction, patients may complain of a significant decrease in subjective visual quality. Among scientific publications, there are no comprehensive data on the study of higher-order aberrations in patients with asteroid hyalosis.

The aim of this study is to evaluate higher-order internal aberrations in patients with artiphakia and asteroid hyalosis.

Materials and methods

Materials and methods. On the basis of the ophthalmological department of Sverdlovsk Regional Clinical Hospital No. 1, after pre-performing standard diagnostic methods, cataract surgery was performed in 12 patients with concomitant diagnosis of asteroid hyalosis.. After 1 month of surgery, all patients underwent aberrometry using the iTrace visual function analyzer. The obtained diagnostic results have been analyzed and statistically processed.

Results

Results. The results of aberrometry and ultrasound examination showed a correlation between the density of asteroidal bodies in the vitreous body and the level of higher-order internal aberrations.

Conclusion

Conclusion. The revealed relationship between the density of asteroid bodies in the vitreous body and the degree of influence on higher-order internal aberrations deepens our understanding of the pathogenesis of asteroid hyalosis this condition and may serve as a basis for revising the indications for phacoemulsification in patients with combined age-related cataracts and asteroid hyalosis, especially in cases of severe aberrations. 

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