Cataract surgery in patients with age-related macular degeneration: questions and controversies

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, t...

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Main Authors: E. I. Dmitrieva, A. Zh. Fursova, I. F. Nikulich, T. J. Kim, Yu. A. Gamza
Format: Article
Language:Russian
Published: Real Time Ltd 2022-03-01
Series:Российский офтальмологический журнал
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Online Access:https://roj.igb.ru/jour/article/view/900
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author E. I. Dmitrieva
A. Zh. Fursova
I. F. Nikulich
T. J. Kim
Yu. A. Gamza
author_facet E. I. Dmitrieva
A. Zh. Fursova
I. F. Nikulich
T. J. Kim
Yu. A. Gamza
author_sort E. I. Dmitrieva
collection DOAJ
description 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.
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issn 2072-0076
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series Российский офтальмологический журнал
spelling doaj-art-294e4f4fa39e45d496122091ea920c5d2025-08-20T03:59:17ZrusReal Time LtdРоссийский офтальмологический журнал2072-00762587-57602022-03-0115113313910.21516/2072-0076-2022-15-1-133-139437Cataract surgery in patients with age-related macular degeneration: questions and controversiesE. I. Dmitrieva0A. Zh. Fursova1I. F. Nikulich2T. J. Kim3Yu. A. Gamza4Novosibirsk State Medical UniversityNovosibirsk State Medical University; Novosibirsk State Regional HospitalNovosibirsk State Medical University; Novosibirsk State Regional HospitalNovosibirsk State Medical UniversityNovosibirsk State Medical University; Novosibirsk State Regional HospitalThe 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.https://roj.igb.ru/jour/article/view/900cataractage-related macular degenerationphacoemulsificationoptical coherence tomographychoroidal neovascularization
spellingShingle E. I. Dmitrieva
A. Zh. Fursova
I. F. Nikulich
T. J. Kim
Yu. A. Gamza
Cataract surgery in patients with age-related macular degeneration: questions and controversies
Российский офтальмологический журнал
cataract
age-related macular degeneration
phacoemulsification
optical coherence tomography
choroidal neovascularization
title Cataract surgery in patients with age-related macular degeneration: questions and controversies
title_full Cataract surgery in patients with age-related macular degeneration: questions and controversies
title_fullStr Cataract surgery in patients with age-related macular degeneration: questions and controversies
title_full_unstemmed Cataract surgery in patients with age-related macular degeneration: questions and controversies
title_short Cataract surgery in patients with age-related macular degeneration: questions and controversies
title_sort cataract surgery in patients with age related macular degeneration questions and controversies
topic cataract
age-related macular degeneration
phacoemulsification
optical coherence tomography
choroidal neovascularization
url https://roj.igb.ru/jour/article/view/900
work_keys_str_mv AT eidmitrieva cataractsurgeryinpatientswithagerelatedmaculardegenerationquestionsandcontroversies
AT azhfursova cataractsurgeryinpatientswithagerelatedmaculardegenerationquestionsandcontroversies
AT ifnikulich cataractsurgeryinpatientswithagerelatedmaculardegenerationquestionsandcontroversies
AT tjkim cataractsurgeryinpatientswithagerelatedmaculardegenerationquestionsandcontroversies
AT yuagamza cataractsurgeryinpatientswithagerelatedmaculardegenerationquestionsandcontroversies