helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2023-16-1-168-174helmholtzeyeinstitute-1188Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWSОсобенности применения традиционной аналоговой и трехмерной цифровой визуализации в офтальмохирургииTraditional analogue vs. three-dimensional digital visualization used in ophthalmic surgeryСтебневВ. С.StebnevV. S.

Вадим Сергеевич Стебнев — д-р мед. наук, профессор кафедры глазных болезней;  главный врач

ул. Чапаевская, д. 89, Самара, 443099; ул. Самарская, д. 25, Самара, 443020

Vadim S. Stebnev — Dr. of Med. Sci., professor of the department of eye diseases;  chief medical officer

89, Chapaevskaya St., Samara 443099; 25, Samarskaya St., Samara, 443020

ЖуравлевА. В.ZhuravlevA. V.

Антон Владимирович Журавлев — аспирант кафедры глазных болезней; врач-офтальмолог

ул. Чапаевская, д. 89, Самара, 443099; ул. Светлая, д. 12, Кинель, Самарская область, 446430

Anton V. Zhuravlev — PhD student of the department of eye diseases; ophthalmologist

89, Chapaevskaya St., Samara 443099; 12, Svetlaya St., Kinel, Samara region, 446430

zhuranton@inbox.ruФГБОУ «Самарский государственный медицинский университет — Институт профессионального образования»; Офтальмологическая клиника «Хирургия глаза»РоссияSamara State Medical University, Institute of Vocational Education; “Eye Surgery” Ophthalmological ClinicRussian FederationФГБОУ «Самарский государственный медицинский университет — Институт профессионального образования»; ГБУЗ СО «Кинельская ЦБГиР»РоссияSamara State Medical University, Institute of Vocational Education; Kinel Central Regional HospitalRussian Federation202318032023161168174Copyright © Стебнев В.С., Журавлев А.В., 20232023Стебнев В.С., Журавлев А.В.Stebnev V.S., Zhuravlev A.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/1188

Визуализация хирургического процесса остается актуальной проблемой оперативного лечения катаракты. В обзоре представлена история методов визуализации в офтальмохирургии, проведено сравнение основных современных аналоговых и трехмерных цифровых технологий. Появление в клинической практике 3D-систем визуализации позволило решить многие проблемы, возникавшие при использовании стандартных аналоговых микроскопов. К таким проблемам можно отнести ограниченные фокус и поле зрения, необходимость яркого освещения, увеличивающего риск ятрогенной ретинальной фототоксичности, постоянное использование хирургом бинокуляров микроскопа и, как следствие, большую нагрузку на его зрительный аппарат, а также мышцы спины и шеи.

The visualization of the surgical process remains a topical issue in cataract surgery. The review presents the history of visualization technique in ophthalmic surgery and compares the main current analogue and 3D digital technologies. The advent of 3D imaging systems in clinical practice has helped solve many issues associated with the use of standard analogue microscopes. These issues include limited focus and field of vision, the need to use a large amount of light, which increases the risk of iatrogenic retinal phototoxicity, the surgeon's attachment to the microscope and, consequently, a high load on the surgeon's visual apparatus when using eyepieces, as well as on their back and neck muscles.

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