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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">glaucoma</journal-id><journal-title-group><journal-title xml:lang="ru">Национальный журнал Глаукома</journal-title><trans-title-group xml:lang="en"><trans-title>National Journal glaucoma</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-4104</issn><issn pub-type="epub">2311-6862</issn><publisher><publisher-name>Federal State Budgetary Institution of Science “Krasnov Research Institute of Eye Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.53432/2078-4104-2023-22-4-88-95</article-id><article-id custom-type="elpub" pub-id-type="custom">glaucoma-510</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Причины прогрессирования катаракты у пациентов с глаукомой (сообщение 1)</article-title><trans-title-group xml:lang="en"><trans-title>Causes of cataract progression in glaucoma patients (report 1)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивачёв</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivachev</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ивачёв Евгений Александрович, к.м.н., доцент; заведующий офтальмологическим отделением</p><p>440026, Пенза, ул. Красная 40</p><p>440600, Пенза, ул. Урицкого 118</p></bio><bio xml:lang="en"><p>Ivachev E. A., Cand. Sci. (Med), Associate Professor, Head of Ophthalmology Department</p><p>40 Krasnaya St, Penza, 440026;</p><p>118 Uritskogo St., Penza, 440600</p></bio><email xlink:type="simple">eivachov1@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Пензенский государственный университет»; ЧУЗ «Клиническая больница «РЖД-Медицина»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Penza State University; Clinical hospital "RZD-Medicine"</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>26</day><month>04</month><year>2024</year></pub-date><volume>23</volume><issue>1</issue><fpage>88</fpage><lpage>95</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ивачёв Е.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Ивачёв Е.А.</copyright-holder><copyright-holder xml:lang="en">Ivachev E.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.glaucomajournal.ru/jour/article/view/510">https://www.glaucomajournal.ru/jour/article/view/510</self-uri><abstract><p>Частота встречаемости сочетания катаракты и глаукомы составляет от 14,6% до 76%, а при наличии псевдоэксфолиативного синдрома — до 85%. Анализ литературы выявил влияние факторов, связанных с глаукомой, на катарактогенез. Ранее проведенная лазерная хирургия или антиглаукомная операция приводят к прогрессированию катаракты у пациентов с глаукомой в 23,3% и 81% случаев, соответственно. Для решения этой проблемы некоторые авторы предлагают проводить комбинированные одномоментные операция по удалению хрусталика с гипотензивным компонентом, при которых и снижается внутриглазное давление, и улучшаются зрительные функции. До 13,7% случаев, связанных с осложнениями хирургии глаукомы, приводят к прогрессированию катаракты. Хирургия катаракты у пациентов с глаукомой в большинстве случаев проводится при развитой (44,6%–59,8%) и далекозашедшей (18,7%–30,3%) стадиях, что не исключает теории влияния прогрессирования оптиконейропатии на процесс катарактогенеза. Частота встречаемости сочетания катаракты и псевдоэксфолиативной глаукомы достигает 40,5%–90%. За счёт отложения эксфолиативного материала в передних отделах глаза псевдоэксфолиативный синдром ведёт к прогрессированию катаракты с поражением связочного аппарата хрусталика. Наличие подвывиха хрусталика вызывает трудности в момент экстракции катаракты и повышает риск интраоперационных осложнений.</p></abstract><trans-abstract xml:lang="en"><p>The incidence of combined cataract and glaucoma ranges from 14.6% to 76%, and increases to 85% in the case of pseudoexfoliation syndrome. Analysis of the literature revealed the influence of factors associated with glaucoma on the process of cataract development. Previously performed laser surgery or glaucoma surgery leads to cataract progression in glaucoma patients in 23.3% and 81% of cases, respectively. To solve this problem, some researchers suggest performing combined one-stage lens removal surgery with a hypotensive component, which reduces intraocular pressure and improves visual function. Up to 13.7% of cases associated with complications of glaucoma surgery lead to cataract progression. Cataract surgery in patients with glaucoma in most cases is performed at the moderate (44.6–59.8%) and advanced (18.7–30.3%) stages, which does not eliminate the theory of the influence of optic neuropathy progression on the process of cataract development. The incidence of cataract and pseudoexfoliation glaucoma comorbidity can reach 40.5–90%. Pseudoexfoliation syndrome leads to cataract progression with disruption of the suspensory apparatus of the lens due to the deposition of exfoliative material in the anterior segment of the eye. Presence of lens subluxation causes difficulties at the time of cataract extraction and increases the risk of intraoperative complications.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>глаукома</kwd><kwd>катаракта</kwd><kwd>факоэмульсификация</kwd><kwd>синустрабекулэктомия</kwd><kwd>интраокулярная линза</kwd><kwd>внутриглазное давление</kwd></kwd-group><kwd-group xml:lang="en"><kwd>glaucoma</kwd><kwd>cataract</kwd><kwd>phacoemulsification</kwd><kwd>trabeculectomy</kwd><kwd>intraocular lens</kwd><kwd>intraocular pressure</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ивачёв Е.А. Особенности хирургии катаракты и послеоперационного периода у пациентов с глаукомой (сообщение 1). Национальный журнал глаукома 2022; 21(3):49-56. https://doi.org/10.53432/2078-4104-2022-21-3-49-56</mixed-citation><mixed-citation xml:lang="en">Ivachev E.A. 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