Kantemirova Raisa Kantemirovna, Honored MD of the Russian Federation, Grand PhD in Medical sciences, Associate Professor, chief researcher, Institute for Rehabilitation and Habilitation of the Disabled, Head of the Department of Therapy of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; Professor of the Department of Hospital Therapy of the St. Petersburg University, 7–9 Universitetskaya Embankment, 193079 St. Petersburg, Russian Federation; Professor of the North-Western State Medical University named after I.I. Mechnikov, 47 Piskarevsky Ave, 195067 St. Petersburg, Russian Federation; tel.: (812) 543-65-05, (812) 764-96-69, +7-921-933-07-99, e-mail: terapium@yandex.ru
Mamedovа Ilakha Jamilovna, PhD in Medical sciences, ophthalmologist of the St. Petersburg Institute of Bioregulation and Gerontology, 3 Dinamo Ave., 197110 St. Petersburg, Russian Federation; North-West State Medical University named after I. I. Mechnikov, 41 Kirochnaya Street, 193015 St. Petersburg, Russian Federation, tel.: 8(911) 730-97-40, e-mail: Ilakha.
Mamedova@szgmu.ru
Klyushnikova Elena Vladimirovna, PhD in Medical sciences, head of the Department of ophthalmology of the North- West State Medical University named after I. I. Mechnikov, 41 Kirochnaya Street, 193015 St. Petersburg, Russian Federation, tel.: 8 (911) 921-66-21, e-mail: elena.klyushnikova@szgmu.ru
Trofimovа Svetlana Vladislavovna, Grand PhD in Medical sciences, Professor, St. Petersburg Institute of Bioregulation and Gerontology, 3 Dinamo Ave., 197110 St. Petersburg, Russian Federation.
In the heading: Original researches
Year: 2020 Volume: 2 Journal number: 4
Pages: 65-74
Article type: scientific and practical
UDC: 613.98
DOI: 10.26211/2658-4522-2020-2-4-65-74
Introduction. The article is devoted to assessing the quality of life of patients with cataracts before and after a phacoemulsification, with the use of complex keratoprotection.
Aim. To evaluate the possibility and effectiveness of using the new original questionnaire in the context of using complex keratoprotection after cataract surgery. Evaluate the quality of life of patients with cataracts before and after a phacoemulsification using complex keratoprotection.
Materials and methods. We have proposed a new original questionnaire, developed on the basis of the General Short Form Medical Outcomes Study (SF-36) and a special Catquest 9SF questionnaire, which allows us to assess the quality of life of patients in the elderly and senile age with visual impairment.
Results and discussion. To assess the impact of visual disorders and clinically active keratoprotection on the quality of life of patients with cataracts, the “Questionnaire for determining the medical and social effectiveness of keratoprotection” was compiled.
Conclusion. It is advisable to assess the effectiveness of a comprehensive method of keratoprotection with a special original “Questionnaire to determine the medico-social efficiency of keratoprotection”, the essence of which is to evaluate the nature of changes in the physical, psychological, emotional status of patients before and after treatment and quality of life in general, and assessing the effectiveness of complex keratoprotection in elderly and senile age, also reflecting the state of visual functions, the range of possibilities in everyday life, mental and social well-being of patients.
Keywords: comprehensive keratoprotection, elderly and senile age, quality of life assessment, questionnaire
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1. Ioshin I.E. Fakoemul’sifikaciya. M. – 2012. – 104 s. [Phacoemulsification]. Moscow.104 p (In Russian).
2. Isakova I.A. (2011) Genderny`j priznak v udovletvorennosti pacientov rezul`tatami xirurgicheskogo mul`tifokal`noj IOL [Gender sign in patient satisfaction Results of surgical treatment with multifocal IO] I.A. Isakova, B.G. Dzhashi, V.P. Aksenov, V.V. Moskvina, V.Yu. Koreneva. Journal of Orenburg State University. no. 14 (133). pp. 156-157 (In Russian).
3. Lucenko N.S. i dr. Sravnitel’nyj analiz morfologicheskih harakteristik endoteliya rogovicy pri hirurgicheskom lechenii katarakty v vozrastnom aspekte // Oftal’mologiya. Vostochnaya Evropa.– 2013. – № 2 (17). – S. 9. [Comparative analysis of morphometric characteristics of corneal endothelium in the surgical treatment of cataract in age aspect]. Ophthalmology. Eastern Europe. no. 2 (17). p. 9 (In Russian).
4. Malyugin B. E. (2006) Hirurgiya katarakty i intraokulyarnaya korrekciya afakii: dostizheniya, problemy i perektivy razvitiya// Vestnik oftal’mjlogii. – 2006. – T. 20. – № 1. – S. 37-41. [Cataract surgery and intraocular correction of aphaxis: achievements, problems and development prospects]. Vestn. oftal`m. T. 20, no. 1. pp. 37-41 (In Russian).
5. Rasulova N.M. Sostoyanie rogovicy posle fakoemul’sifikacii // Byulleten’ medicinskih internetencij. – 2014. – T. 4. – № 4. – S. 311. [Condition of cornea after phacoemulsification. Bulletin of medical Internet conferences]. T. 4, no. 4. p. 311 (In Russian).
6. Subbotina I.I. Novye vozmozhnosti primeneniya fibrinolitikov i kortikosteroidov v lechenii posleoperacionnyh vospalitel’nyh oslozhnenij v hirurgii katarakty / I.I. Subbotina, A.S. Devyatkova, T.V. Gavrilova, A.V. Drugov // Permskij medicinskij zhurnal. – 2014. – T. XXXI. – № 6. – S. 74-77. [New possibilities for the use of fibrinolytics and corticosteroids in the treatment of postoperative inflammatory complications of cataract vesurgery] I.I. Subbotina, A.S. Devyatkova, T.V. Gavrilova, A.V. Drugov. Perm Medical Journal. vol. XXXI, no 6. pp. 74-77 (In Russian).
7. Trofimova S.V. Vliyanie bioregulyatorov na zritel’cii u lic pozhilogo i starcheskogo vozrasta s diabeticheskoj retinopatiej // Uspekhi gerontologii. – SPb. – 2000. – S. 119-121. [Influence of bioregulators on visual functions in persons of old and old age with diabetic retinopathy]. Progress gerontol. Sankt-Peterburg. pp. 119-121 (In Russian).
8. Trofimova S.V., Blaginina E.A. Lechenie suhoj formy vozrastnoj makulodistrofii s primeneniem sinteticheskogo peptida setchatki // Klinicheskaya gerontologiya. – 2008. – T. 14. – № 9. – S. 44. [Treatment of dry form of age-related maculodystrophy using synthetic retinal peptide]. Klin. gerontol. T. 14, no. 9. p. 44 (In Russian).
9. Federal’nye klinicheskie rekomendacii po okazaniyu oftal’mologicheskoj pomoshchi pacientam s vozrastnoj kataraktoj. Ekspertnyj sovet po probleme hirurgicheskogo lecheniya katarakty / OOO «Mezhregional’naya associaciya vrachej-oftal’mologov». – M.: Izd-vo «Oftal’mologiya», 2015 – 32 s. [Federal clinical guidelines for providing ophthalmological care to patients with age-related cataracts. Expert advice on surgical treatment of cataract] (2015) [https://oor.ru/ files/klinrecomutver/fkr.pdf] (In Russian).
10. Agdeppa M.C. et al. (2010) Factors influencing corneal biomechanical changes after microincision cataract surgery and standard coaxial phacoemulsification. J. Cataract. Refract. Surg. no. 36. p. 890–897.
11. Alio J.L. et al. (2008) Guidelines for managing postcataract surgery inflammation. Can we reach a consensus? Ophtalmol. Times Europe. Vol. 11. R. 2-11.
12. Barry P. et al. (2006) ESCRS study of prophylaxis of postoperative endophthalmitis after cataract Surgery. J. Cataract Refract Surg. vol. 32, no. 3. pp. 407-410.
13. Brown G.C. (2000) Difference between ophthalmologists and patients perceptions of quality of life associated with agerelated macular degeneration / G.C. Brown, M.M. Brown, S. Sharma. Can. J. Ophthalmol. vol. 35 no. 3. pp. 127-133.
14. Claesson M. et al. (2009) Corneal oedema after cataract surgery: predisposing factors and corneal graft outcome. Acta Ophthalmol. vol. 87(2). pp. 154-159.
15. Faramarzi A. et al. (2011) Corneal endothelial cell loss during phacoemulsification: Bevel-up versus bevel-down phaco tip. J. Cataract. Refract. Surg. vol. 37. pp. 1971–1976.