FIELD: medicine; ophthalmology.
SUBSTANCE: preoperative ophthalmological examination is performed. Keratorefractive surgery is performed and the refraction is determined to evaluate the results of the operation. During the ophthalmological examination, computer accommodation is additionally performed to assess the severity of accommodation disorders. When identifying habitual-excessive accommodation stress or habitual-excessive accommodation stress in combination with accommodation weakness, characterized by the coefficients of accommodation microfluctuations and accommodation response, with values of the coefficient of accommodative microfluctuations of more than 65 contractions per minute or in combination with a value of the coefficient of accommodative response below 0.4 diopter, before the planned keratorefractive operation, soft contact lenses are selected, which are worn for at least one month, in combination with the appointment of instillations of a 2.5% solution of “Irifrin” for one month once a day at night. After the treatment, repeated computer accommodation is performed, and when the values of the coefficient of accommodation microfluctuations are less than 65 contractions per minute and/or in combination with the value of the coefficient of accommodation response above 0.4 diopter, keratorefractive surgery is performed.
EFFECT: method allows performing effectively keratorefractive surgery by preventing the development of “false” myopic refraction after it.
1 cl, 2 ex
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Authors
Dates
2021-05-04—Published
2020-07-22—Filed