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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">10.21516/2072-0076-2021-14-3-131-135</article-id><article-id custom-type="elpub" pub-id-type="custom">helmholtzeyeinstitute-734</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>Прогностические факторы функциональных результатов хирургии идиопатических (первичных) эпимакулярных мембран: зрительные функции до операции. Часть 4</article-title><trans-title-group xml:lang="en"><trans-title>Prognostic factors of functional results of surgery for idiopathic (primary) epimacular membranes: visual functions prior to surgery. Part 4</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>Торопыгин</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Toropygin</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p> д-р мед. наук, доцент, заведующий кафедрой офтальмологии </p><p> ул. Советская, д. 4, Тверь, 170100, Россия </p></bio><bio xml:lang="en"><p> Dr. of Med. Sci., assistant professor, head of chair of ophthalmology </p><p> 4, Sovetskaya St., Tver, 170100, Russia </p></bio><email xlink:type="simple">doctorop@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>Назарова</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Nazarova</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> аспирант кафедры офтальмологии </p><p> ул. Советская, д. 4, Тверь, 170100, Россия </p></bio><bio xml:lang="en"><p> PhD student, chair of ophthalmology </p><p> 4, Sovetskaya St., Tver, 170100, Russia </p></bio><email xlink:type="simple">stanislava.n@list.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>Даварах</surname><given-names>Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Dawarah</surname><given-names>H.</given-names></name></name-alternatives><bio xml:lang="ru"><p> врач-офтальмолог </p><p> ул. Советская, д. 4, Тверь, 170100, Россия </p></bio><bio xml:lang="en"><p> ophthalmologist, chair of ophthalmology </p><p> 4, Sovetskaya St., Tver, 170100, Russia </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>Маслов</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Maslov</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p> ассистент кафедры физики, математики и медицинской информатики </p><p> ул. Советская, д. 4, Тверь, 170100, Россия </p></bio><bio xml:lang="en"><p> assistant professor, chair of physics, mathematics and medical informatics </p><p>4, Sovetskaya St., Tver, 170100, Russia</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Тверской ГМУ» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Tver State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>15</day><month>09</month><year>2021</year></pub-date><volume>14</volume><issue>3</issue><fpage>131</fpage><lpage>135</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Торопыгин С.Г., Назарова С.В., Даварах Х., Маслов А.Н., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Торопыгин С.Г., Назарова С.В., Даварах Х., Маслов А.Н.</copyright-holder><copyright-holder xml:lang="en">Toropygin S.G., Nazarova S.V., Dawarah H., Maslov A.N.</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/734">https://roj.igb.ru/jour/article/view/734</self-uri><abstract><p> В четвертой, заключительной части обзора (первую часть см. РОЖ 2020; 13 (2): 99–104, вторую часть см. РОЖ 2020; 13 (4): 105–110, третью часть см. РОЖ 2021;14 (2): 103–109) рассматривается динамика остроты зрения при длительном присутствии эпимакулярных мембран (ЭММ), влияние  предоперационной остроты зрения на прогноз зрительных  функций после удаления ЭММ, а также вопрос определения показаний к хирургическому лечению ЭММ по остроте  зрения. </p></abstract><trans-abstract xml:lang="en"><p> In the fourth, final part of the review (for the previous three parts, see ROJ 2020; 13 (2): 99–104, ROJ 2020; 13 (4): 105–110, and ROJ 2021; 14 (2): 103–109), we consider the changes in visual acuity under the lasting presence of epimacular membranes (EMM), the impact of presurgical visual acuity on the prognosis of visual functions after EMM removal, as well as indications for surgical treatment of EMM depending on visual acuity. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>эпимакулярная мембрана</kwd><kwd>острота зрения</kwd><kwd>метаморфопсии</kwd><kwd>витреоретинальная хирургия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>epimacular membrane</kwd><kwd>visual acuity</kwd><kwd>metamorphopsia</kwd><kwd>vitreoretinal surgery</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">Mitamura Y., Hirano K., Baba T., Yamamoto S. 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