L.T. SHAMSETDINOVA, I.A. MUSHKOVA, M.L. MITRONINA, N.V. MAYCHUK

The S. Fyodorov Eye Microsurgery Federal State Institution, 59A Beskudnikovsky Blvr, Moscow, Russian Federation, 127474

Shamsetdinova L.T. – clinical graduate student of the Department of Laser Refractive Surgery, tel.:+7-985-726-12-72, e-mail: leylaapa@gmail.com

Mushkova I.A. – D. Sc. (medicine), Head of the Department of Refractive Laser Surgery, tel. (499) 488-87-42, e-mail: i.a.muskova@mail.ru

Mitronina M.L. – PhD (medicine), Head of the Department of Children’s Diagnostic with pleopto-orthoptic treatment of the polyclinic, tel. (499) 488-87-42, e-mail: marina@mitronin.ru

Maychuk N.V. — PhD (medicine), Senior Researcher of Department of Refractive Laser Surgery, tel. (499) 488-89-84, e-mail:  drmaichuk@yandex.ru

(For citation:  Shamsetdinova L.T., Mushkova I.A., Mitronina M.L., Maychuk N.V. Comparison of the results of complex treatment of patients with keratorefractive surgery and the risk of post-operative asthenopic syndrome. Practical Medicine. 2018)

The article presents the results of complex treatment of patients with laser refractive surgery with the risk of postoperative asthenopia. 68 patients (68 eyes) with a lack of binocular vision were given a standard examination before corneal refractive surgery (CRO), as well as additional methods for studying accommodation capacity and binocular function. In all cases, after surgery, uncorrected visual acuity was achieved, equal to or greater than the preoperative visual correction. Patients were randomly divided into 2 groups of comparison: in group 1, the first stage was apparatus treatment, the second stage was CRO; in group 2 – vice versa. The two-stage treatment showed high results in both groups and did not reveal a statistically significant difference depending on the order of rehabilitation stages. Performing the functional restoration as the first stage reduces the risk of postoperative asthenopia and increases patient’s satisfaction with the operation results.

Key words: refractive surgery, asthenopia after refractive surgery, accommodation disorders, low fusion reserves, asthenopia, functional treatment, FemtoLASIK.

REFERENCES

1. Shapovalov S.L., Milyavskaya T.I., Ignat’ev S.A. Osnovnye formy astenopii [The main forms of asthenopia]. Moscow: Mik, 2012. 288 p.
2. Kornyushina T.A. Fiziologicheskie mekhanizmy razvitiya zritel’nogo utomleniya i perenapryazheniya i mery ikh profilaktiki: dis. d-ra biol. nauk [Physiological mechanisms of development of visual fatigue and overstrain and measures for their prevention. Dis. Dr biol. sciences]. Moscow, 1999. 284 p.
3. Godts D., Tassignon M.J., Gobin L. (2004). Binocular vision impairment after refractive surgery. Journal of cataract and refractive surgery, vol. 30, pp. 101- 109. doi:10.1016/S0886-3350(03)00412-7.
4. Jimenez J., Villa C., Gonzalez-Anera R., Gutierrez R. Binocular visual performance after LASIK. J Refract Surg., 2006, no. 22, pp. 679-88.
5. Kushner B.J., Kowal L. Diplopia after refractive surgery. Arch Ophthalmol., 2003, no. 121, pp. 315-21.
6. Anera R., Jimenez J., Villa C., Rodriguez-Marin F., Gutierrez R. Technical note: Pre-surgical anisometropia influences post-LASIK binocular mesopic contrast sensitivity function. Ophthalmic Physiol Optics, 2007, no. 27, pp. 210-2.
7. Shamsetdinova L.T., Mushkova I.A., Markova E.Yu., Maychuk N.V. On the issue of etiopathogenesis of postoperative asthenopic syndrome in patients with medium and high degree myopia. Prakticheskaya meditsina, 2018, vol. 3, no. 114, pp. 204-210 (in Russ.).
8. Arutyunova O.V., Ovechkin I.G., Man’ko O.M., Pasechnyy S.N. Rol’ lazernykh metodov v fizioterapevticheskom lechenii anomaliy refraktsii [The role of laser methods in physiotherapeutic treatment of refractive errors]. Trudy V Vserossiyskogo s»ezda fizioterapevtov i kurortologii. Moscow, 2002. Pp. 255-256.
9. Shchukin S.Yu. Increase in «quality of visual life» of patients after excimer laser correction of myopia. Vestnik meditsinskogo stomatologicheskogo institute, 2012, no. 2, pp. 54-57 (in Russ.).
10. Pisarevskaya O.V., Mikhalevich I.M. Patterns and mechanisms of changes in the structural and functional state of the visual system in patients with high degree myopia after laser keratomileusis and binarimetry. Byulleten’ VSNTs SO RAMN, 2009, no. 5-6, pp. 69-70 (in Russ.).
11. Zharov V.V., Lyalin A.N., Korepanova O.A., Kutergina M.R., Evseev V.S. The effect of treatment with the help of an ophthalmic exercise «Vizotronik M3» on accommodative and sensory-motor functions in amblyopia. RMZh “Klinicheskaya oftal’mologiya”, 2013, no. 4, 173 p. (in Russ.).