Ophthalmology ReportsOphthalmology ReportsОфтальмологические ведомости1998-71022412-5423Eco-Vector59571510.17816/OV595715Case reportsКлинические случаиResearch ArticleFemtoLASIK clinical case of laser visual correction of residual myopia in the eye with IOL by using MEL-90 and VisuMax 500Клинический случай лазерной коррекции зрения методом FemtoLASIK при остаточной миопии на глазу с интраокулярной линзой с использованием MEL-90 и VisuMax 500https://orcid.org/0000-0003-0217-4146PopowskaLudmilaПоповскаяЛюдмила
Poland

MD

д-р мед. наук

poplud@interia.plhttps://orcid.org/0009-0000-1232-0843Popowska-KedraMonikaПоповская-КедраМоника
Poland

MD

д-р мед. наук

Popowska-monika@wp.plhttps://orcid.org/0009-0003-8330-8077KachanovAndrey B.КачановАндрей Борисович
Russian Federation

MD, Dr. Sci. (Med.), Professor

д-р мед. наук, профессор

andrey_kachanov@yahoo.comLUMED ClinicКлиника «ЛЮМЕД»S. Fyodorov Eye Microsurgery Federal State Institution, St. Petersburg branchСанкт-Петербургский филиал Национального медицинского исследовательского центра «Межотраслевой научно-технический комплекс «Микрохирургия глаза» им. акад. С.Н. Фёдорова»North-Western State Medical University named after I.I. MechnikovСеверо-Западный государственный медицинский университет им. И.И. Мечникова12012024164991042809202315112023Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-ВекторCopyright ©; 2024,2024Eco-VectorЭко-Векторhttps://eco-vector.com/for_authors.php#07https://journals.eco-vector.com/ov/article/view/595715

The authors describe their experience of successful laser additional correction of residual myopic refractive error (Vis OD = 0.04; Sph –5.75 D, Cyl –2.00 D, ax 25° = 0.4) using the FemtoLASIK method with the MEL-90 excimer laser and the VISUMAX femtosecond laser (Carl Zeiss Meditec) in a 15-year-old patient on a pseudophakic eye (Acrysof® Natural, model SN60AT), with moderate glistening and refractive amblyopia after phacoemulsification of congenital posterior capsular cataract with IOL implantation performed at the age of 7 years. Moreover, the very next day after present surgery, the patient’s maximum distance visual acuity without correction increased to 0.5, but she still had the ability to read ordinary magazine text at close distance. Thus, the described clinical case confirms that FemtoLASIK technology can be successfully used as the second stage of bioptics (laser correction of myopia in pseudophakic eyes) in young patients.

Авторы описывают свой опыт успешной лазерной докоррекции остаточной миопической рефракции (Vis OD = 0,04, Sph –5,75 D, Cyl –2,00 D, ax 25° = 0,4) методом FemtoLASIK на эксимерном лазере MEL-90 и фемтосекундном лазере VISUMAX (Carl Zeiss Meditec) у пациентки 15 лет на глазу с артифакией (Acrysof® Natural, модель SN60AT), с умеренным глистенингом и рефракционной амблиопией после факоэмульсификации врождённой задней субкапсулярной катаракты с имплантацией ИОЛ, выполненной в возрасте 7 лет. При этом уже на следующий день после обсуждаемой операции у пациентки максимальная острота зрения вдаль без коррекции повысилась до 0,5, но при этом сохранилась способность читать обычный текст на близком расстоянии. Таким образом, описанный клинический случай подтверждает, что технология FemtoLASIK может быть успешно применена в качестве второго этапа биоптики (лазерной коррекции миопии на глазах с псевдофакией) у молодых пациентов.

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