Cataract surgery in patients with age-related macular degeneration: questions and controversies
https://doi.org/10.21516/2072-0076-2022-15-1-133-139
Abstract
The issue of surgical treatment of cataracts in patients with age-related macular degeneration (AMD) is important due to a high incidence of the comorbid course of the two diseases. The effectiveness of phacoemulsification of cataract (FEC) in patients with AMD, its influence on the course of AMD, the characteristics of visual functions, and the quality of life of these patients are still controversial. The study of risk factors for the development of choroidal neovascularization, the influence of the characteristics of surgical treatment and the number of injections on the incidence of intraoperative complications seems to be quite relevant for understanding the possible mechanisms of AMD progression after FEC. This study is instrumental in the development of measures preventing the reactivation of the pathological process, improving visual functions and the quality of life of patients after surgical treatment of cataracts. The range of contraindications for FEC in patients with neovascular AMD is rather limited , and continuation of anti-VEGF therapy stops active exudation and increases visual acuity in patients with neovascular AMD. Maintaining functional parameters, improving peripheral vision, contrast sensitivity, improving the quality of OCT imaging provides both significant benefits for the patient and boosts the control of the disease, increasing the accuracy of monitoring.
About the Authors
E. I. Dmitrieva
Novosibirsk State Medical University
Russian Federation
Russian Federation
Elena I. Dmitrieva - assistant professor of chair of ophthalmology1
52, Krasny Prospect, Novosibirsk, 630091
A. Zh. Fursova
Novosibirsk State Medical University; Novosibirsk State Regional Hospital
Russian Federation
Russian Federation
Anzhella Zh. Fursova - Dr. of Med. Sci., head of chair of ophthalmology,
head of ophthalmology department
52, Krasny Prospect, Novosibirsk, 630091
130, Nemirovich-Danchenko St., Novosibirsk, 630087
I. F. Nikulich
Novosibirsk State Medical University; Novosibirsk State Regional Hospital
Russian Federation
Russian Federation
Ida F. Niculich - Cand. of Med. Sci., assistant professor, chair of ophthalmology, ophthalmologist
52, Krasny Prospect, Novosibirsk, 630091
130, Nemirovich-Danchenko St., Novosibirsk, 630087
T. J. Kim
Novosibirsk State Medical University
Russian Federation
Russian Federation
Tatyana J. Kim - Cand. of Med. Sci., assistant professor, chair of ophthalmology
52, Krasny Prospect, Novosibirsk, 630091
Yu. A. Gamza
Novosibirsk State Medical University; Novosibirsk State Regional Hospital
Russian Federation
Russian Federation
Julia A. Gamza - Cand. of Med. Sci., assistant professor, chair of ophthalmology, ophthalmologist
52, Krasny Prospect, Novosibirsk, 630091
130, Nemirovich-Danchenko St., Novosibirsk, 630087
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For citations:
Dmitrieva E.I., Fursova A.Zh., Nikulich I.F., Kim T.J., Gamza Yu.A. Cataract surgery in patients with age-related macular degeneration: questions and controversies. Russian Ophthalmological Journal. 2022;15(1):133-139. (In Russ.) https://doi.org/10.21516/2072-0076-2022-15-1-133-139
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