СРАВНИТЕЛЬНЫЙ АНАЛИЗ LASIK И FEMTO-LASIK ПРИ МИОПИИ РАЗЛИЧНОЙ СТЕПЕНИ

Relevance. The article is devoted to the issue of modern approaches to surgical treatment using laser correction methods in young patients with myopia. Purpose of the study. To study the effectiveness of LASIK and Femto-LASIK operations in the intra- and postoperative period in patients with myopia. Materials and methods. On the basis of the Republican Specialized Scientific and Practical Medical Center of Eye Microsurgery, a comparative analysis of 64 patients (112 eyes) aged 18–40 years, 38 men (62) and 26 women (50) with myopia of varying degrees, operated by LASIK and Femto-LASIK methods, was carried out. Results. In the first group of patients, the maximum corrected visual acuity after LASIK surgery ranged from 0.9 to 1.2. In the second group of patients, after Femto-LASIK surgery, maximum corrected visual acuity ranged from 1.0 to 1.5. Due to deep ablation of the stromal bed in patients with moderate and high myopia in valves created with MMK, in the control group during the intraoperative process noted a decrease in friction in the stromal bed of valve adhesion. A month after Femto-LASIK surgery, the dry eye syndrome values decreased to 41%, in the next 6 months they remained only in 2.33% of patients, which is explained by the rapid recovery of lacrimation to baseline values, unlike LASIK surgery, where the dry eye syndrome indicators remained quite high. Conclusion. With Femto-LASIK, compared with the standard LASIK operation, the planned thickness and uniformity of the cut fully corresponds, which provided easier installation and rapid adaptation of the valve, as a result of which there were no complaints from patients at discharge and in the postoperative period.