helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2020-13-4-64-69helmholtzeyeinstitute-521Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУFOR OPHTHALMOLOGY PRACTITIONERSПослеоперационный или артифакичный (псевдофакичный) макулярный отекPostoperative, or pseudophakic, macular edemaИошинИ. Э.IoshinI. E.

Игорь Эдуардович Иошин — д-р мед. наук, профессор, заведующий офтальмологическим отделением

ул. Лосиноостровская, д. 45, Москва, 107143

Igor E. Ioshin — Dr. of Med. Sci., professor, head of ophthalmological department

45, Losinoostrovskaya St., Moscow, 107143

igor.ioshin@gmail.comФГБУ «Клиническая больница»РоссияClinical HospitalRussian Federation2020171220201346469Copyright © Иошин И.Э., 20202020Иошин И.Э.Ioshin I.E.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/521

Анализируются причины, методы диагностики и профилактики макулярного отека (МО) на артифакичном глазу после факоэмульсификации катаракты. На основе литературных и собственных данных определены преимущества термина «артифакичный МО», который учитывает все многообразие патогенеза осложнения. Сформулировано предложение о внесении «артифакичный МО» в перечень Международной классификации болезней (МКБ).

Causes of macular edema (ME) occurring on the pseudophakic eye after cataract phacoemulsification, and methods of its diagnosis and prevention are analyzed. As follows from the literature and our own data, the term “pseudophakic ME” better reflects the condition that the term “postoperative ME” as it takes into account the diversity of pathogenetic complications. Accordingly, we propose to include this term into the ICD list.

факоэмульсификация катарактымакулярный отекартифакичный отекпрофилактикаcataract phacoemulsificationmacular edemapseudophakic edemapreventionReferencesАстахов С.Ю., Гобеджишвили М.В. Послеоперационный макулярный отек, синдром Ирвина — Гасса. Клиническая офтальмология. 2010; 1: 5–10.Astakhov S.Yu., Gobedzhishvili M.V. Postoperative macular edema, Irvine — Gass syndrome. Klinicheskaya oftal’mologiya. 2010; 1: 5–10 (in Russian).Гобеджишвили М.В., Астахов С.Ю., Куглеев А.А. Макулярный отек при псевдофакии. Офтальмологические ведомости. 2011; 4: 57–9.Gobedzhishvili M.V., Astakhov S.Yu., Kugleev A.A. Macular edema in pseudophakia. Oftal'mologicheskie vedomosti. 2011; 4: 57–9 (in Russian).Федоров С.Н., Егорова Э.В. Ошибки и осложнения при имплантации искусственного хрусталика. Москва; 1992.Fedorov S.N., Egorova E.V. Errors and complications in the implantation of an artificial lens. Moscow; 1992 (in Russian).Иошин И.Э. Интраокулярная коррекция афакии. Москва: Апрель; 2014.Ioshin I.E. Intraocular correction of aphakia. Moscow: Аprel'; 2014 (in Russian).Irvine A.V. Macular edema after cataract extraction. Am. J. Ophthalmol. 1953; 36: 599–619.Irvine A.V. Macular edema after cataract extraction. Am. J. Ophthalmol. 1953; 36: 599–619.Gass J.D., Norton E.V. Cystoid macular edema and papilledema following cataract extraction. A fluorescein funduscopic and angiographic study. Arch. Ophthalmol. 1966 Nov; 76 (5): 646–61. doi: 10.1001/archopht.1966.03850010648005Gass J.D., Norton E.V. Cystoid macular edema and papilledema following cataract extraction. A fluorescein funduscopic and angiographic study. Arch. Ophthalmol. 1966 Nov; 76 (5): 646–61. doi: 10.1001/archopht.1966.03850010648005Федоров С.Н. Имплантация искусственного хрусталика. Москва: Медицина; 1977.Fedorov S.N. Implantation of an artificial lens. Moscow: Meditcina; 1977 (in Russian).Binkchorst C.D., Leonard P.A. Results of 208 iris-clip pseudophakos implantations. Amer. J. Ophthalmol. 1967; 64 (5): 947–56. https://doi.org/10.1016/0002-9394(67)92241-6Binkchorst C.D., Leonard P.A. Results of 208 iris-clip pseudophakos implantations. Amer. J. Ophthalmol. 1967; 64 (5): 947–56. https://doi.org/10.1016/0002-9394(67)92241-6Choyce D.P. Cataract surgery and intraocular implants. Lancet. 1970 Jun 27; 1 (7661): 1400. doi: 10.1016/s0140-6736(70)91310-3Choyce D.P. Cataract surgery and intraocular implants. Lancet. 1970 Jun 27; 1 (7661): 1400. doi: 10.1016/s0140-6736(70)91310-3Jaffe N.S., Clayman H.M., Jaffe M.S. The results of lens implantation in eyes with operative loss of vitreous. J. Amer. Intraocular Implant Soc. 1980 Jul; 6 (3): 243–5. doi: 10.1016/s0146-2776(80)80069-3Jaffe N.S., Clayman H.M., Jaffe M.S. The results of lens implantation in eyes with operative loss of vitreous. J. Amer. Intraocular Implant Soc. 1980 Jul; 6 (3): 243–5. doi: 10.1016/s0146-2776(80)80069-3Irvine A.V. Cystoid maculopathy. Surv. Ophthalmol. Jul-Aug 1976; 21 (1): 1–17. doi: 10.1016/0039-6257(76)90045-xIrvine A.V. Cystoid maculopathy. Surv. Ophthalmol. Jul-Aug 1976; 21 (1): 1–17. doi: 10.1016/0039-6257(76)90045-xGoodman D.F., Stark W.J., Gottisch J.D. Complication of cataract extraction with intraocular lens implantation. Ophthalmic Surgery, Lasers and Imaging Retina. 1989; 20 (2): 132–40. https://doi.org/10.3928/1542-8877-19890201-15Goodman D.F., Stark W.J., Gottisch J.D. Complication of cataract extraction with intraocular lens implantation. Ophthalmic Surgery, Lasers and Imaging Retina. 1989; 20 (2): 132–40. https://doi.org/10.3928/1542-8877-19890201-15Severin T.D., Severin S.L. Pseudophakic cystoid macular edema: a revised comparasion of incidence with intracapsular and extracapsular extraction. Ophthalmic. Surg. 1988 Feb; 19 (2): 116–8. PMID:3347455Severin T.D., Severin S.L. Pseudophakic cystoid macular edema: a revised comparasion of incidence with intracapsular and extracapsular extraction. Ophthalmic. Surg. 1988 Feb; 19 (2): 116–8. PMID:3347455Flach A.J. The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery. Trans. Am. Ophthal. Soc. 1998; 96: 557–634. PMID: 10360304Flach A.J. The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery. Trans. Am. Ophthal. Soc. 1998; 96: 557–634. PMID: 10360304Федоров С.Н., Ронкина Т.К., Пашинова Н.Ф. Сравнительный анализ основных типов фиксации интраокулярных линз. Хирургия катаракты. Москва; 1983: 93–102.Fedorov S.N., Ronkina T.K., Pashinova N.F. Comparative analysis of the main types of fixation of intraocular lenses. In: Surgery of cataract. Moscow; 1983: 93–102 (in Russian).Иошин И.Э., Толчинская А.И., Оздербаева А.А. Особенности применения нестероидных противовоспалительных средств (НПВС) в профилактике отека сетчатки макулярной области после факоэмульсификации возрастной катаракты. Российский офтальмологический журнал. 2016; 9 (2): 77–82. https://doi.org/10.21516/2072-0076-2016-9-2-77-82Ioshin I.E., Tolchinskaya A.I., Ozderbaeva A.A. Using nonsteroidal anti-inflammatory drugs to prevent retinal macular edema after age-related cataract phacoemulsification. Russian ophthalmological journal. 2016; 9 (2): 77–82 (in Russian). https://doi.org/10.21516/2072-0076-2016-9-2-77-82Tzelikis P., Vieira M., Hida W., et al. Comparison of Ketorolac 0.4% and Nepafenac 0.1% for the prevention of cystoid macular edema after phacoemulsification: prospective placebo-controlled randomised study. Br. J. Ophthalmol. 2015; 99 (5): 654–8. https://doi.org/10.1136/bjophthalmol-2014305803Tzelikis P., Vieira M., Hida W., et al. Comparison of Ketorolac 0.4% and Nepafenac 0.1% for the prevention of cystoid macular edema after phacoemulsification: prospective placebo-controlled randomised study. Br. J. Ophthalmol. 2015; 99 (5): 654–8. https://doi.org/10.1136/bjophthalmol-2014305803Wielders L.H.P., Schouten J.S.A., Winkens B., et al. European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics: ESCRS PREMED study report 1. J. Cataract. Refract Surg. 2018 Apr; 44 (4): 429–39. http://dx.doi.org/10.1016/j.jcrs.2018.01.029Wielders L.H.P., Schouten J.S.A., Winkens B., et al. European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics: ESCRS PREMED study report 1. J. Cataract. Refract Surg. 2018 Apr; 44 (4): 429–39. http://dx.doi.org/10.1016/j.jcrs.2018.01.029Иошин И.Э. Профилактика воспалительных осложнений после факоэмульсификации. Москва: Апрель; 2014.Ioshin I.E. Prevention of inflammatory complications after phacoemulsification. Moscow: Аprel'; 2014 (in Russian).Иошин И.Э. Амбулаторная хирургия катаракты. Москва: Апрель; 2016.Ioshin I.E. Outpatient cataract surgery. Moscow: Аprel'; 2016 (in Russian).Alio J.L., Bodaghi B., Tassignon M.J. Guidelines for managing post-cataract surgery inflammation. Can we rich a consensus. Ophthalmology Times Europe. 2008; 11: 2–11. https://europe.ophthalmologytimes.com/view/guidelines-managing-post-cataract-surgery-inflammation-can-we-reachconsensusAlio J.L., Bodaghi B., Tassignon M.J. Guidelines for managing post-cataract surgery inflammation. Can we rich a consensus. Ophthalmology Times Europe. 2008; 11: 2–11. https://europe.ophthalmologytimes.com/view/guidelines-managing-post-cataract-surgery-inflammation-can-we-reachconsensusKim S.J. Nonsteroidal anti-inflammatory drugs in ophthalmology. Survey of ophthalmology. 2010; 55 (2): 108–33. https://doi.org/10.1016/j.survophthal.2009.07.005Kim S.J. Nonsteroidal anti-inflammatory drugs in ophthalmology. Survey of ophthalmology. 2010; 55 (2): 108–33. https://doi.org/10.1016/j.survophthal.2009.07.005Lim B.X., Lim C.H., Lim D.K., et al. Prophylactic nonsteroidal anti-inflammatory drugs for the prevention of macular oedema after cataract surgery. Cochrane Database Syst. Rev. 2016; 11:CD006683. doi: 10.1002/14651858.CD006683.pub3Lim B.X., Lim C.H., Lim D.K., et al. Prophylactic nonsteroidal anti-inflammatory drugs for the prevention of macular oedema after cataract surgery. Cochrane Database Syst. Rev. 2016; 11:CD006683. doi: 10.1002/14651858.CD006683.pub3Lee T.H., Choi W., Ji Y.S., Yoon K.C. Comparison of ketorolac 0.45% versus diclofenac 0.1 % for macular thickness and volume after uncomplicated cataract surgery. Acta Ophthalmol. 2016; 94:e177–e182. doi: 10.1111/aos.12780Lee T.H., Choi W., Ji Y.S., Yoon K.C. Comparison of ketorolac 0.45% versus diclofenac 0.1 % for macular thickness and volume after uncomplicated cataract surgery. Acta Ophthalmol. 2016; 94:e177–e182. doi: 10.1111/aos.12780Stock R.A., Galvan D.K., Godoy R., Bonamigo E.L. Comparison of macular thickness by optical coherence tomography measurements after uneventful phacoemulsification using ketorolac tromethamine, nepafenac, versus a control group, preoperatively and postoperatively. Clin. Ophthalmol. 2018; 12: 607–11. https://doi.org/10.2147/OPTH.S157738Stock R.A., Galvan D.K., Godoy R., Bonamigo E.L. Comparison of macular thickness by optical coherence tomography measurements after uneventful phacoemulsification using ketorolac tromethamine, nepafenac, versus a control group, preoperatively and postoperatively. Clin. Ophthalmol. 2018; 12: 607–11. https://doi.org/10.2147/OPTH.S157738Zhao X., Xia S., Wang E., Chen Y. Comparison of the efficacy and patients' tolerability of nepafenac and ketorolac in the treatment of ocular inflammation following cataract surgery: a meta-analysis of randomized controlled trials. PLoS One 2017; 12 (3): e0173254. doi: 10.1371/journal.pone.0173254. eCollection 2017.Zhao X., Xia S., Wang E., Chen Y. Comparison of the efficacy and patients' tolerability of nepafenac and ketorolac in the treatment of ocular inflammation following cataract surgery: a meta-analysis of randomized controlled trials. PLoS One 2017; 12 (3): e0173254. doi: 10.1371/journal.pone.0173254. eCollection 2017.Федеральные клинические рекомендации по оказанию офтальмологической помощи пациентам с возрастной катарактой. Экспертный совет по проблеме хирургического лечения катаракты. ООО «Межрегиональная ассоциация врачей-офтальмологов». Москва: «Офтальмология». 2015. https://3z.ru/upload/documents/Federal_prescribing_cataract_treatment.pdfFederal clinical guidelines for the provision of ophthalmic care to patients with age-related cataract. Expert Council on the Problem of Surgical Treatment of Cataract. LLC “Interregional Association of Ophthalmologists”. Moscow: Oftal'mologiya; 2015 (in Russian). https://3z.ru/upload/documents/Federal_prescribing_cataract_treatment.pdfChu J., Johnston R.L., Buscombe C., et al. Risk factors and incidence of macular edema after cataract surgery. Ophthalmology. 2016; 123: 316–23. https://doi.org/10.1016/j.ophtha.2015.10.00Chu J., Johnston R.L., Buscombe C., et al. Risk factors and incidence of macular edema after cataract surgery. Ophthalmology. 2016; 123: 316–23. https://doi.org/10.1016/j.ophtha.2015.10.00Малюгин Б.Э., Марцинкевич А.О. Современные подходы к профилактике послеоперационных воспалительных осложнений в хирургии катаракты у больных сахарным диабетом. Офтальмохирургия. 2016; 1: 85–8. https://doi.org/10.25276/0235-4160-2016-1-85-90Malyugin B.E., Marcinkevich A.O. Modern approaches to the prevention of postoperative inflammatory complications in cataract surgery in patients with diabetes mellitus. Oftal'mokhirurgiya. 2016; 1: 85–8 (in Russian). https://doi.org/10.25276/02354160-2016-1-85-90Иошин И.Э., Толчинская А.И., Багиров А.М. Лечение послеоперационного макулярного отека (клиническое наблюдение). Вестник офтальмологии. 2018: 99–107. doi: 10.17116/oftalma2018134399Ioshin I.E., Tolchinskaya А.I., Bagirov А.M. Treatment of postoperative macular edema (clinical observation). Vestnik oftal'mologii. 2018; 134 (3): 99–107. (in Russian). doi: 10.17116/oftalma2018134399

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