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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">helmholtzeyeinstitute</journal-id><journal-title-group><journal-title xml:lang="ru">Российский офтальмологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Ophthalmological Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-0076</issn><issn pub-type="epub">2587-5760</issn><publisher><publisher-name>Real time Publishers</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21516/2072-0076-2025-18-3-supplement-23-26</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-1919</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Применение алгоритмов машинного обучения для повышения точности результатов лазерной коррекции зрения</article-title><trans-title-group xml:lang="en"><trans-title>Application of machine learning algorithms to improve the accuracy of laser vision correction outcomes</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Арсений Владимирович Осипов — аспирант кафедры офтальмологии Института непрерывного образования и профессионального развития</p><p>ул. Островитянова, д. 1, Москва, 117997</p></bio><bio xml:lang="en"><p>Arseny V. Osipov — PhD student, chair of ophthalmology, institute of continuous education and professional development</p><p>1, Ostrovityanova St., Moscow, 117997</p></bio><email xlink:type="simple">dr.osipov.eyes@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баталина</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Batalina</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лариса Владимировна Баталина — канд. мед. наук, доцент кафедры офтальмологии Института непрерывного образования и профессионального развития</p><p>ул. Островитянова, д. 1, Москва, 117997</p></bio><bio xml:lang="en"><p>Larisa V. Batalina — Cand. of Med. Sci., associate professor, chair of ophthalmology, institute of continuous education and professional development</p><p>1, Ostrovityanova St., Moscow, 117997</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дергачева</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Dergacheva</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Надежда Николаевна Дергачева — канд. мед. наук, доцент кафедры офтальмологии Института непрерывного образования и профессионального развития</p><p>ул. Островитянова, д. 1, Москва, 117997</p></bio><bio xml:lang="en"><p>Nadezhda N. Dergacheva — Cand. of Med. Sci., associate professor, chair of ophthalmology, institute of continuous education and professional development</p><p>1, Ostrovityanova St., Moscow, 117997</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Медведев</surname><given-names>И. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Medvedev</surname><given-names>I. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Игорь Борисович Медведев — д-р мед. наук, профессор, заведующий кафедрой офтальмологии Института непрерывного образования и профессионального развития</p><p>ул. Островитянова, д. 1, Москва, 117997</p></bio><bio xml:lang="en"><p>Igor B. Medvedev — Dr. of Med. Sci., professor, head of chair of ophthalmology, institute of continuous education and professional development</p><p>1, Ostrovityanova St., Moscow, 117997</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.I. Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>23</day><month>10</month><year>2025</year></pub-date><volume>18</volume><issue>3</issue><issue-title>ПРИЛОЖЕНИЕ</issue-title><fpage>23</fpage><lpage>26</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Осипов А.В., Баталина Л.В., Дергачева Н.Н., Медведев И.Б., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Осипов А.В., Баталина Л.В., Дергачева Н.Н., Медведев И.Б.</copyright-holder><copyright-holder xml:lang="en">Osipov A.V., Batalina L.V., Dergacheva N.N., Medvedev I.B.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://roj.igb.ru/jour/article/view/1919">https://roj.igb.ru/jour/article/view/1919</self-uri><abstract><p>Лазерная коррекция зрения (ЛКЗ) представляет собой высокотехнологичный метод коррекции аномалий рефракции, эффективность которого во многом зависит от точности предоперационной диагностики, индивидуализации параметров вмешательства и прогнозирования исходов. В последние годы всё активнее интегрируются алгоритмы машинного обучения (МО) на различных этапах ЛКЗ, способствуя трансформации офтальмохирургической практики в сторону персонализированного подхода. Цель данного обзора — систематизировать современные достижения в применении МО в лазерной рефракционной хирургии. В предоперационном периоде МО позволяет с высокой точностью отбирать пациентов, выявлять противопоказания (включая кератоконус), выбирать оптимальный метод вмешательства и рассчитывать параметры абляции. Используемые алгоритмы, включая «случайный лес», XGBoost и глубокие нейронные сети, демонстрируют превосходные показатели чувствительности и специфичности, нередко превосходя традиционные клинические методы. В послеоперационном периоде МО применяется для прогнозирования зрительных исходов, риска регрессии и необходимости повторной коррекции. Несмотря на высокую прогностическую точность, текущее применение искусственного интеллекта (ИИ) ограничено ретроспективным характером данных, отсутствием масштабной клинической валидации и необходимостью дальнейшей интеграции в клинические процессы. Обзор подчеркивает значимость дальнейших исследований для стандартизации, интероперабельности и регуляторной приемлемости ИИ-решений в офтальмологии.</p></abstract><trans-abstract xml:lang="en"><p>Laser vision correction (LVC) is a high-technology method of correcting refractive errors, the effectiveness of which largely depends on the precision of preoperative diagnostics, the individualization of surgical parameters, and the accurate prediction of postoperative outcomes. In recent years, machine learning (ML) algorithms have been increasingly integrated at various stages of the LVC process, contributing to the transformation of ophthalmic surgical practice toward a more personalized approach. This literature review aims to systematize current advancements in the application of ML in laser refractive surgery. In the preoperative phase, ML enables the accurate selection of suitable candidates, the identification of contraindications (including keratoconus), the choice of optimal surgical technique, and the calculation of ablation parameters. Employed algorithms, such as random forest, XGBoost, and deep neural networks, exhibit excellent sensitivity and specificity, frequently outperforming conventional clinical methods. In the postoperative period, ML is utilized to predict visual outcomes, assess the risk of refractive regression, and determine the likelihood of enhancement procedures. Despite its high predictive accuracy, the current use of artificial intelligence (AI) remains constrained by the retrospective nature of available data, the lack of large-scale clinical validation, and the ongoing need for integration into clinical workflows. This review underscores the importance of further research to establish standardized protocols, ensure interoperability, and achieve regulatory compliance for AI-based solutions in ophthalmology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кераторефракционная хирургия</kwd><kwd>лазерная коррекция зрения</kwd><kwd>машинное обучение</kwd><kwd>искусственный интеллект</kwd></kwd-group><kwd-group xml:lang="en"><kwd>keratorefractive surgery</kwd><kwd>laser vision correction</kwd><kwd>machine learning</kwd><kwd>artificial intelligence</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Chang JY, Lin PY, Hsu CC, Liu CJ. Comparison of clinical outcomes of LASIK, Trans-PRK, and SMILE for correction of myopia. J Chin Med Assoc. 2022 Feb 1; 85 (2): 145–51. doi: 10.1097/JCMA.0000000000000674</mixed-citation><mixed-citation xml:lang="en">Chang JY, Lin PY, Hsu CC, Liu CJ. 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