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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">10.21516/2072-0076-2020-13-1-77-84</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-385</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>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Пластичность сетчатки при ретинопатии недоношенных и перспективы фототерапии</article-title><trans-title-group xml:lang="en"><trans-title>Retinal plasticity in retinopathy of prematurity, and phototherapy prospects</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>Зуева</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Zueva</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Марина Владимировна Зуева – д-р биол. наук, профессор, начальник отдела клинической физиологии зрения им. С.В. Кравкова.</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Marina V. Zueva – Dr. of Biol. Sci., Professor, head of the department of clinical physiology of vision named after S.V. Kravkov.</p><p>14/19, Sadovaya Chernogryazskaya St., Moscow, 105062</p></bio><email xlink:type="simple">visionlab@yandex.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>Коголева</surname><given-names>Л. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kogoleva</surname><given-names>L. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Людмила Викторовна Коголева – д-р мед. наук, руководитель детского консультативно-поликлинического отделения.</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Lyudmila V. Kogoleva – Dr. of Med. Sci., head of the children's consultative and outpatient department.</p><p>14/19, Sadovaya Chernogryazskaya St., Moscow, 105062</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>Катаргина</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Katargina</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Людмила Анатольевна Катаргина – д-р мед. наук, профессор, заместитель директора по научной работе, начальник отдела патологии глаз у детей.</p><p>ул. Садовая-Черногрязская, д. 14/19, Москва, 105062</p></bio><bio xml:lang="en"><p>Lyudmila A. Katargina – Dr. of Med. Sci., Professor, deputy director.</p><p>14/19, Sadovaya Chernogryazskaya St., Moscow, 105062</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «НМИЦ глазных болезней им. Гельмгольца» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Helmholtz National Medical Research Center of Eye Diseases</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>15</day><month>03</month><year>2020</year></pub-date><volume>13</volume><issue>1</issue><fpage>77</fpage><lpage>84</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Зуева М.В., Коголева Л.В., Катаргина Л.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Зуева М.В., Коголева Л.В., Катаргина Л.А.</copyright-holder><copyright-holder xml:lang="en">Zueva M.V., Kogoleva L.V., Katargina L.A.</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/385">https://roj.igb.ru/jour/article/view/385</self-uri><abstract><p>У недоношенных младенцев в нейральной сетчатке развиваются пластические изменения, которые в зависимости от тяжести ретинопатии недоношенных (РН) являются проявлением адаптивной или неадаптивной пластичности. В экспериментальных исследованиях на моделях РН у животных продемонстрированы кондиционирующие эффекты стимуляции прерывистым белым светом и различные механизмы положительного влияния красного и ультрафиолетового излучения на пластичность сетчатки, что позволяет рассматривать фототерапию в качестве перспективного метода модифицирующего лечения РН, дополняющего основную терапию. Принимая во внимание, что в патогенез РН вовлечены светозависимые процессы, мы также выдвигаем гипотезу, что в комплексе методов профилактики и лечения РН значительной эффективностью может обладать фрактальная фототерапия сложноструктурированными оптическими стимулами как метод активации адаптивной нейропластичности.</p></abstract><trans-abstract xml:lang="en"><p>In premature babies, plastic changes develop in the neural retina, which, depending on the severity of retinopathy of prematurity (ROP), are a manifestation of adaptive or non-adaptive plasticity. In various experimental studies on animal ROP models, the conditioning effects of intermittent white light stimulation and various mechanisms of the positive effect of red and ultraviolet radiation on the plasticity of the retina have been demonstrated, which allows phototherapy to be considered as a promising modifying treatment for ROP supplementing the main therapy. Taking into account that light-dependent processes are involved in the pathogenesis of ROP, we also hypothesize that fractal phototherapy with complex-structured optical stimuli, as a method of activating adaptive neuroplasticity, can be most effective in the complex of methods for preventing and treating ROP.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ретинопатия недоношенных</kwd><kwd>пластичность сетчатки</kwd><kwd>кондиционирующая стимуляция</kwd><kwd>фототерапия</kwd><kwd>фрактальные оптические сигналы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>retinopathy of prematurity</kwd><kwd>retinal plasticity</kwd><kwd>conditioning stimulation</kwd><kwd>phototherapy</kwd><kwd>fractal optical signals</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">Катаргина Л.А. 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