Maintenance of visual functions in patients with a scheduled cataract surgery

<p> <b>Maintenance of visual functions in patients with a scheduled cataract surgery</b> </p> <p> <b>I.A.&nbsp;Il’inskaya<sup>1</sup>, S.Yu. Kopaev<sup>2</sup></b> </p> <p> <b><sup>1</sup>Pirogov R...

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Main Authors: I.A. Il’inskaya, S.Yu. Kopaev
Format: Article
Language:Russian
Published: Prime-Media 2020-08-01
Series:РМЖ "Клиническая офтальмология"
Online Access:http://clinopht.com/upload/iblock/868/868f9d822794b10291543b1093981fdd.pdf
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author I.A. Il’inskaya
S.Yu. Kopaev
author_facet I.A. Il’inskaya
S.Yu. Kopaev
author_sort I.A. Il’inskaya
collection DOAJ
description <p> <b>Maintenance of visual functions in patients with a scheduled cataract surgery</b> </p> <p> <b>I.A.&nbsp;Il’inskaya<sup>1</sup>, S.Yu. Kopaev<sup>2</sup></b> </p> <p> <b><sup>1</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>S.N. Fedorov NMRC “MNTK “Eye Microsurgery”, Moscow, Russian Federation</b> </p> <p> <i><b>Aim</b>: to evaluate the maintenance of visual functions by administering eye drops which prevent lens opacities in patients with a scheduled cataract surgery based on the stages of cataract development.</i> </p> <p> <i><b>Patients and Methods: </b>822 patients with a scheduled cataract surgery were recommended with the instillations of Catalin<sup>®</sup> (1 drop four times daily). The patients were divided into two groups, i.e., the study group (364 patients who used the eye drops throughout the waiting time) and the control group (195 patients who refused the eye drops for various reasons). Both groups were additionally subdivided into three subgroups, i.e., I (mature cataract), II (immature cataract), and III (early cataract). Exclusion criteria (n=263) were irregular instillations or the use of Catalin<sup>®</sup> analogues.</i> </p> <p> <i><b>Results</b>: the average waiting time was 6.76±1.35 months. A decrease in uncorrected visual acuity (UCVA) by 37% and 40% was revealed in the study group and the control group, respectively. Additionally, a myopic shift of the spherical equivalent was detected. Significant differences (р&lt;0.001) were revealed in subgroup II, i.e., less changes in the spherical equivalent as compared with the control group and subgroup III. Meanwhile, the changes in UCVA were significantly less in the study group as compared with the control group.</i> </p> <p> <i><b>Conclusion</b>: Catalin<sup>®</sup> (Senju Pharmaceutical) is effective in early cataract. In immature cataract, this drug slows down refractive changes. In mature cataract, Catalin<sup>®</sup> is ineffective. In these patients, the earliest possible cataract surgery is required.</i> </p> <p> <i><b>Keywords</b>: vision loss, cataract, spherical equivalent, pirenoxine, cataract treatment, cataract surgery.</i> </p> <p> <i><b>For citation: </b>Il’inskaya I.A., Kopaev S.Yu. Maintenance of visual functions in patients with a s</i>a scheduled cataract surgery. Russian Journal of Clinical Ophthalmology. 2020;20(3):117–121. DOI: 10.32364/2311-7729-2020-20-3-117-121. </p> <br> <br>
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series РМЖ "Клиническая офтальмология"
spelling doaj-art-72507db0309b4971a53a1855b9bcfd352025-01-16T09:39:39ZrusPrime-MediaРМЖ "Клиническая офтальмология"2311-77292619-15712020-08-0120331124Maintenance of visual functions in patients with a scheduled cataract surgeryI.A. Il’inskaya0S.Yu. Kopaev1Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399Russian Journal of Clinical Ophthalmology, Publisher of «Medicina-Inform» Address for correspondence: Russia, 105064, Moscow, P.O. Box 399<p> <b>Maintenance of visual functions in patients with a scheduled cataract surgery</b> </p> <p> <b>I.A.&nbsp;Il’inskaya<sup>1</sup>, S.Yu. Kopaev<sup>2</sup></b> </p> <p> <b><sup>1</sup>Pirogov Russian National Research Medical University, Moscow, Russian Federation</b> </p> <p> <b><sup>2</sup>S.N. Fedorov NMRC “MNTK “Eye Microsurgery”, Moscow, Russian Federation</b> </p> <p> <i><b>Aim</b>: to evaluate the maintenance of visual functions by administering eye drops which prevent lens opacities in patients with a scheduled cataract surgery based on the stages of cataract development.</i> </p> <p> <i><b>Patients and Methods: </b>822 patients with a scheduled cataract surgery were recommended with the instillations of Catalin<sup>®</sup> (1 drop four times daily). The patients were divided into two groups, i.e., the study group (364 patients who used the eye drops throughout the waiting time) and the control group (195 patients who refused the eye drops for various reasons). Both groups were additionally subdivided into three subgroups, i.e., I (mature cataract), II (immature cataract), and III (early cataract). Exclusion criteria (n=263) were irregular instillations or the use of Catalin<sup>®</sup> analogues.</i> </p> <p> <i><b>Results</b>: the average waiting time was 6.76±1.35 months. A decrease in uncorrected visual acuity (UCVA) by 37% and 40% was revealed in the study group and the control group, respectively. Additionally, a myopic shift of the spherical equivalent was detected. Significant differences (р&lt;0.001) were revealed in subgroup II, i.e., less changes in the spherical equivalent as compared with the control group and subgroup III. Meanwhile, the changes in UCVA were significantly less in the study group as compared with the control group.</i> </p> <p> <i><b>Conclusion</b>: Catalin<sup>®</sup> (Senju Pharmaceutical) is effective in early cataract. In immature cataract, this drug slows down refractive changes. In mature cataract, Catalin<sup>®</sup> is ineffective. In these patients, the earliest possible cataract surgery is required.</i> </p> <p> <i><b>Keywords</b>: vision loss, cataract, spherical equivalent, pirenoxine, cataract treatment, cataract surgery.</i> </p> <p> <i><b>For citation: </b>Il’inskaya I.A., Kopaev S.Yu. Maintenance of visual functions in patients with a s</i>a scheduled cataract surgery. Russian Journal of Clinical Ophthalmology. 2020;20(3):117–121. DOI: 10.32364/2311-7729-2020-20-3-117-121. </p> <br> <br>http://clinopht.com/upload/iblock/868/868f9d822794b10291543b1093981fdd.pdf
spellingShingle I.A. Il’inskaya
S.Yu. Kopaev
Maintenance of visual functions in patients with a scheduled cataract surgery
РМЖ "Клиническая офтальмология"
title Maintenance of visual functions in patients with a scheduled cataract surgery
title_full Maintenance of visual functions in patients with a scheduled cataract surgery
title_fullStr Maintenance of visual functions in patients with a scheduled cataract surgery
title_full_unstemmed Maintenance of visual functions in patients with a scheduled cataract surgery
title_short Maintenance of visual functions in patients with a scheduled cataract surgery
title_sort maintenance of visual functions in patients with a scheduled cataract surgery
url http://clinopht.com/upload/iblock/868/868f9d822794b10291543b1093981fdd.pdf
work_keys_str_mv AT iailinskaya maintenanceofvisualfunctionsinpatientswithascheduledcataractsurgery
AT syukopaev maintenanceofvisualfunctionsinpatientswithascheduledcataractsurgery