helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2023-16-1-151-156helmholtzeyeinstitute-1186Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSВлияние программного гемодиализа на клинико-функциональный и морфометрический офтальмологический статус больных с терминальной болезнью почекThe impact of scheduled hemodialysis on clinical-functional and morphometric ophthalmological status of patients with a terminal kidney diseaseКозинаЕ. В.KozinaE. V.

Елена Владимировна Козина — д-р мед. наук, доцент, заведующий кафедрой офтальмологии с курсом последипломного образования им. проф. М.А. Дмитриева

ул. Партизана Железняка, д. 1, Красноярск, 660022

Elena V. Kozina — Dr. of Med. Sci., associate professor, head of the chair of ophthalmology

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

БалашоваП. М.BalashovaP. M.

Полина Михайловна Балашова — ассистент кафедры офтальмологии с курсом последипломного образования им. проф. М.А. Дмитриева

ул. Партизана Железняка, д. 1, Красноярск, 660022

Polina M. Balashova — assistant professor, chair of ophthalmology

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

doctor-polly@mail.ruСиняпкоС. Ф.SinyapkoS. F.

Сергей Федорович Синяпко — канд. мед. наук, доцент кафедры офтальмологии с курсом последипломного образования им. проф. М.А. Дмитриева

ул. Партизана Железняка, д. 1, Красноярск, 660022

Sergey F. Sinyapko — Cand. of Med. Sci., assistant professor, chair of ophthalmology

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

ГололобовВ. Т.GololobovV. T.

Владимир Трофимович Гололобов — д-р мед. наук, профессор кафедры офтальмологии с курсом последипломного образования им. проф. М.А. Дмитриева

ул. Партизана Железняка, д. 1, Красноярск, 660022

Vladimir T.  Gololobov — Dr. of Med. Sci., professor, chair of ophthalmology

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

ИвлиевС. В.IvlievS. V.

Сергей Викторович Ивлиев — канд. мед. наук, ассистент кафедры терапии Института последипломного образования

ул. Партизана Железняка, д. 1, Красноярск, 660022

Sergey V. Ivliev — Cand of Med. Sci., assistant professor, chair of therapy

1, Partizan Zheleznyak St., Krasnoyarsk, 660022

ФГБОУ ВО «Красноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого» Минздрава РоссииРоссияProf. V.F. Voino-Yasenetsky Krasnoyarsk State Medical UniversityRussian Federation202318032023161151156Copyright © Козина Е.В., Балашова П.М., Синяпко С.Ф., Гололобов В.Т., Ивлиев С.В., 20232023Козина Е.В., Балашова П.М., Синяпко С.Ф., Гололобов В.Т., Ивлиев С.В.Kozina E.V., Balashova P.M., Sinyapko S.F., Gololobov V.T., Ivliev S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/1186

Обзор литературы посвящен влиянию программного гемодиализа на состояние переднего отдела глаза, хориоретинального комплекса, центрального и периферического зрения. Процедура гемодиализа сопровождается снижением базальной слезопродукции, укорочением времени разрыва слезной пленки, анормальными показателями теста OSDI. Истончение центра роговицы не сопровождается значимыми изменениями кератометрических показателей. Интрадиализное истончение хориоидеи, снижение глазного перфузионного давления могут вносить вклад в прогрессирование ишемических заболеваний глаз. Понижение остроты зрения связано с нестабильностью толщины хрусталика и хориоидеи. Влияние гемодиализа на состояние периферического зрения изучено недостаточно. Корреляции офтальмологических изменений с системными эффектами диализа неоднозначна. Разноречивость результатов проведенных исследований обусловливает целесообразность их продолжения.

The literature review discusses the impact of scheduled hemodialysis on the state of the anterior part of the eye, the chorioretinal complex, the central and peripheral vision. The hemodialysis procedure is accompanied by a decrease in basal tear production, quickening of the tear film break-up, and an abnormal ocular surface disease index. Thinning of the corneal center is not accompanied by significant keratometric changes. Intradialytic thinning of the choroid and reduction of ocular perfusion pressure may be involved in the progression of ischemic eye diseases. Lower visual acuity is associated with the instability of the lens and choroid thickness. The impact of hemodialysis on the peripheral vision has not been sufficiently investigated. The correlations of ophthalmic changes with systemic effects of the dialysis are ambiguous. The inconsistency of the research results requires that the research should be continued.

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