?INOEOOO I*IEO OAI?IA ? OEAIEIII? OA?AI??

?i.A.I.O?eaoiaa

OOIAIIAA IENAIA A?EOI??AIA

OAeE 617.741 – 089.28

EE?I?EI-AENIA?EIAIOAEUeIA AeINE?AeAEAIIss

?IIEAIOAOe?? O?UeIOIII?II? IIAeAE? ?IE C AIOO??OIUeIEAINOEUeIITH
O?ENAOe??TH

14.01.18 — I/i? oai?iae

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Iaeana — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Ee?anuee?e iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe

?i. I.E.Ooi?ea IIC Oe?a?ie

Iaoeiaee ea??aiee – aeieoi? iaaee/ieo iaoe, /e.- ei?. AII oa IAI
Oe?a?ie, i?ioani? Na?a??iei Ieeiea Ia?eiae/, Ee?anueea iaaee/ia
aeaaeai?y i?neyaeeieiiii? ina?oe ?i.I.E.Ooi?ea, caa?aeoaa/ eaoaae?e
i/ieo oai?ia

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani? Iaaeth/aiei
Einoyioei Iaaeiae/, Aeiiaoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao
?i. I Ai?ueeiai, caa?aeoaa/ eaoaae?e i/ieo oai?ia;

aeieoi? iaaee/ieo iaoe, noa?oee iaoeiaee ni?a?ia?oiee E?aniiaeae

Oaoyia Aiae???aia, ?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai??

?i. A.I.O?eaoiaa, caa?aeoth/a a?aeae?eaiiyi o?aaie iea

I?ia?aeia onoaiiaa – Aei?i?iiao?ianueea aea?aeaaia iaaee/ia
aeaaeai?y IIC Oe?a?ie, eaoaae?a i/ieo oai?ia, i.Aei?i?iiao?ianuee

Caoeno a?aeaoaeaoueny “ 19 ” aa?aciy 1999 ?. i 12-00 aiaeei?

ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 41.556.01. a
?inoeooo?

i/ieo oai?ia ? oeaieiii? oa?ai?? ?i.A.I.O?eaoiaa ca aae?anith: 270061,
Iaeana, O?aioeocueeee aoeueaa?, 49/51.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? ?inoeoooo
i/ieo

oai?ia ? oeaieiii? oa?ai?? ?i. A. I. O?eaoiaa (270061,
Iaeana, O?aioeocueeee aoeueaa?, 49/51)

Aaoi?aoa?ao ?ic?neaiee “ 18 ” ethoiai 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee:

aeieoi? iaaee/ieo iaoe,

i?ioani?
Iiiiia?/oe A.N.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. A iei?oi?e /an caaaeueiii?eeiyoi, ui iaea?eueo
o?c?ieia?/iith ? ?io?aeainoey?ia o?enaoe?y ?io?aieoey?ieo e?ic. A?aeiii
aaaaoi eiino?oeoe?e caaeiueieaia?ieo ooo/ieo e?eooaeee?a a?o/eciyieo
oa ca?oa?aeieo aaoi??a (Ieaen??a A. I., 1979; E?aniia I. I., 1987;
Ianoa?ia A.I. c ni?aaao., 1979; An?s A., 1980; S?mnia C., 1981).

Aaeeea e?euee?noue iiaeaeae ?IE, ui aeei?enoiaothoueny, na?ae/aoue i?i
a?aenooi?noue ?aeeii? iaa?oioiaaii? aeoiee i?i i?eioeeie eiino?othaaiiy
ia?niaeoeaieo iiaeaeae ?IE. R. Drews (1989) noi?ioethaaa iniiai? aeiiae
aei no/anieo ?io?aieoey?ieo e?ic: i?i?iaeueiee eiioaeo c aeoeaii
iaoaaie?coth/ith oeaieiith, i?i?iaeueia ?ooeea?noue, i?i?iaeueiee oene
ia iaaeieeoi? oeaieie. Aeey aeio?eiaiiy oeeo aeiia iaiao?aeii, uia
caaaeueiee ae?aiao? ?IE iaaeeaeaany aei ae?aiao?o eainoeueiiai i?oea
oa uia oi/ee iii?e aaioe/ii? /anoeie ?icoaoiaoaaeenue ??aiii??ii ii
anueiio eieo ?IE.

A iaea?eueo iiioey?ieo iiaeaeyo ?IE, ui aeei?enoiaothoueny aeey
?io?aeainoey?ii? o?enaoe??, oe? oiiae ia aeio?eiothoueny. Icia/ai?
?iieaioaoe, i?ioioeiii yeeo aoee ?IE Shearing (1979), Simnia (1982), oa
?io?, iathoue, ye i?aaeei, aeaa iii?ieo aeaiaioa, a?aenoaiue i?ae
e?aei?ie e?aieaie iii?ieo aeaiaio?a ?IE 13.5 – 14.0 ii, ? oiio aiie ia
a?aeiia?aeathoue e?oae?e oi?i? eainoeueiiai i?inoi?o. I?e ?iieaioaoe??
oeeo e?ic eainoeueiee i?oie ?icoyao?oueny ia a oi?i? eiea, a a oi?i?
ae?ina c aeiaaith a?nnth, ui a?aeiia?aea? iieiaeaiith iii?ieo
aeaiaio?a.

Iaaaoeaia noi?iia oeueiai — caiaaeoi aeecueea ?icoaooaaiiy iii?ieo
aeaiaio?a ii a?aeiioaiith aei oeee?a?iiai o?ea. E??i oiai,
ia??aiii??iee ?icoya eainoee a ??ciiiai?oieo iai?yieao iiaea ni?eyoe
iiya? ia i?e neeaaeie oa aeieeiaiith eainoeueiiai anoeaiaoecio (Assia
E. et al., 1995).

An? icia/ai? ia?aaeoiiae aeaee i?aenoaao aeei?enoiaoaaoe aeey
aiaeieainoey?ii? ?iieaioaoe?? o?ueioiii?io iiaeaeue ooo/iiai
e?eooaeeea, ?ic?iaeaio i?ioani?ii I. I. Na?a??iei.

3 iaoith oeaio?aoe?? ?IE a eainoeueiiio i?oeo ? cieaeaiiy /anoioe
oneeaaeiaiue aoei cai?iiiiiaaii ?ici?noeoe aaioe/io /anoeio e?ice i?ae
eooii 10 aei ?? iioe/ii? /anoeie (Oaaei?ia N.I., ?ai?iaa A. A., 1992).
I?e oeueiio ci?ith?oueny aeeaeia ia?aaeiuei? eaia?e. Ca?eueoaiiy
aeeaeie ia?aaeiuei? eaia?e i?ecaiaeeoue aei oiai, ui ciaioo?oueny
ieiua eiioaeoo ooo/iiai e?eooaeeea c ?aeaeoaeiith iaieiieith. Ie??i
oeueiai, ??ciiiai?oi?e aeeaei? ia?aaeiuei? eaia?e a?aeiia?aea? ??cia
cia/aiiy A – eiinoaioe aeey SRK – oi?ioee aeey ieineeo oa aiaoeueiaaieo
e?eooaeee?a (Uozato H., 1993). Oaeiae, iie?auo?oueny ye?noue
?aoeiaeueiiai cia?aaeaiiy (Shigemori S. et a1.,1993; Steuhl K. et al.,
1992). Taeei /eiii, aiaoeueiaai? ?IE a?eueo o?c?ieia?/i? ? ?ic?iaea oeeo
iiaeaeae caneoaiao? oaaae.

I?e ?iieaioaoe?? ?io?aieoey?ieo e?ic ?io?aeainoey?ii aaaeeeaei
iiiaioii, ui aecia/a? ye?noue o?enaoe?? e?ice, ? aee?ithaaiiy eineooo
ia?aaeiuei? eainoee iaaii? oi?ie oa aaee/eie (Oaaei?ia N. I. c
ni?aaao., 1985).

E?oaiaee eainoei?aenen ye can?a aen?/aiiy ia?aaeiuei? eainoee ana
aiaai?oa noa? noaiaea?oii a no/ani?e o??o?a?? eaoa?aeoe. Oeae can?a
iai?aaeaiee ia aee?ithaaiiy eineooa ia?aaeiuei? eainoee ie?oaei? oi?ie ?
ii iiaeeeaino? c ??aieie e?ayie ae?aiao?ii 5-6 ii.

Oey iaoiaeeea ia? ?yae ia?aaaa:

— aeaeeiee e?ae eainoee ?iaeoue iiaeeeaei ia?aa??eoe i?noeaiieiaeaiiy
aaioe/ii? /anoeie ?IE ana?aaeei? eainoeueiiai i?oea;

— o aeiaaeeao, eiee aeaoaeo caaeiuei? eainoee ia aeicaiey?
aeeiiaoe aioo??oiueieainoeueio ?iieaioaoe?th ?IE, caeeoee caa?aaeaii?
ia?aaeiuei? eainoee caaacia/othoue aacia/io ?iieaioaoe?th a oeee?a?io
ai?icaeo;

— aaeeeee caeeoie ?ioaeoii? ia?aaeiuei? eainoee caaacia/o? aeiaeaoeiao
i?aeo?eieo aeey o?enaoe?? iii?ieo aeaiaio?a ?IE, a oaeiae aeiiiiaaa?
oieeiooe caaei?o neiao?e ? ieaiaioii? aeenia?n??;

— caaacia/o? e?auo oeaio?aoe?th ?io?aieoey?ii? e?ice.

Aei a?aeiiniiai iaaeie?eo e?oaiaiai eainoei?aenena a?aeiinyoue o?oaeiiu?
i?e aeaeaeaii? aaeeeiai oaa?aeiai yae?a. Aeey aeeiiaiiy e?oaiaiai
eainoei?aenena iaiao?aeii aeei?enoaiiy oiieeo ?ino?oiaio?a, ui
aeicaieyoue oi/ii eiio?iethaaoe iai?yiie ?ic?eao ia?aaeiuei? eainoee. A
e?oa?aoo?? iienai? oeenoioii, c?aiooa aieea, eainoeueiee i?ioeao,
eainoeuei? iiaeeoe?, ?ino?oiaioe aeey oeueo?acaoeiaiai,
aeaeo?iaeniei-/anoioiiai, aaeooiiiai ?ic?eao eainoee (Gimbel H.,
Neuhann T., 1990).

?nioth/? ?ino?oiaioe ia aeicaieythoue i?aeo?eioaaoe iino?eio aeeaeio
ia?aaeiuei? eaia?e, a ca’yceo c /ei iaiao?aeia ?ic?iaea ?ino?oiaioa??y
aeey i?e?io??o?a?? ia?aaeiuei? eainoee e?eooaeeea (ssoeinean A. I.,
1989).

Aeeoa?aioe?eiaaiee i?aeo?ae aei aeai?o iaoiaea iia?aoe??, eiino?oeoe??
oa caniao o?enaoe?? ?IE ni?yiiaaiee ia caaacia/aiiy ?? noaa?eueiiai
iieiaeaiiy a ioe?. Aeaoeaio?aoe?y iiaea aeieeiooe i?e ??ciiiai?oieo
caniaao o?enaoe??, aea ye niaoeeo?/ia oneeaaeiaiiy niinoa??aa?oueny i?e
?iieaioaoe?? caaeiueieaia?ieo e?ic.

Aeaoeaio?aoe?y ?io?aieoey?ieo e?ic iae/ano?oa coiiaeaia aei?noe?noth
iii?ieo aeaiaio?a, iaa?aeiia?aei?noth ?ici???a e?ice ae?aiao?o ciie
o?enaoe??, ci?oaiei oeiii o?enaoe?? (Oaaei?ia N. I., ?ai?iaa A. A.,
1992; A??1a at al., 1986; Galand A., 1986; Goodman at a1., 1989).

Iienai? ??ciiiai?oi? caniae ioe?iee nooiaiy inueiai? aeaoeaio?aoe?? ?IE
(Oaaei?ia N. I., ?ai?iaa A. A., 1992; Guyton D. at al., 1990; Eumar S.,
1990; Naballari A. at al., 1991). An? iacaai? aeua caniae aecia/aiiy
aeaoeaio?aoe?? aeiaaathoue niaoe?aeueieo i?eeaae?a. Ia iaoo aeoieo,
iaea?eueo i?inoei ? eaaei cae?eniaiiei caniaii aecia/aiiy
aeaoeaio?aoe?? iioe/ii? /anoeie a?aeiinii oeaio?o c?ieoe?, ui ia aeiaaa?
aeiaeaoeiaeo i?eno?i?a, ? can?a, cai?iiiiiaaiee I. Nilvard, S. Dunn
(1990).

Ii?ooaiiy i?aaeeueiiai iieiaeaiiy iioe/ii? /anoeie ?IE a?aeiinii
iioe/ii? in? iea iiaea iaaaoeaii a?aeaeaaoeny ia ooieoe?yo iia?iaaiiai
iea. A?aoiaoth/e oea, aecia/aiiy nooiaiy ? /anoioe aeaoeaio?aoe??
??ciiiai?oieo iiaeaeae ?IE ? iaei??th c iaeaaaeeea?oeo oa?aeoa?enoee
?io?aieoey?ii? e?ice.

Ooieoe?iiaeueiee ?acoeueoao aeno?aeoe?? eaoa?aeoe c ?iieaioaoe??th
?io?aieoey?ii? e?ice a cia/i?e i??? caeaaeeoue a?ae oi/iino? ?ic?aooieo
i?aeiieyth/i? neee ooo/iiai e?eooaeeea.

A ?aa?an?ei? oi?ioee aoei aaaaeaii iii?aai/iee eiao?oe??io – A —
eiinoaioo — niaoeeo?/iee eiao?oe??io aeey eiaeiiai oeio e?eooaeeea ?
o??ie eiai aeaio?aieea. A-eiinoaioa iioiaeeoue c aeaieo aiae?c?a on?o
?iieaioaoe?e. A-eiinoaioa aeey ?IE iaei??? o??ie aeaio?aieea cae/aeii ia
caeaaeeoue a?ae ?iaeea?aeoaeueii? o??o?a?/ii? oaoi?ee. A?eueo?noue
eiiiai?e ?aaoey?ii i?aaenoaaeythoue aeai? aiae?c?a iiainoai?aieo ooo/ieo
e?eooaeee?a, uia aeaoe o??o?ao oi/io A — eiinoaioo. Oe?iea canoinoaaiiy
o?ueioiii?ii? iiaeae? ?IE aeiaaa? ?ic?aooieo A-eiinoaioe aeey oe???
iiaeae?.

Oaeei /eiii, aeooaeuei?noue aeaii? i?iaeaie aecia/eea iaiao?aei?noue
iei?oiueiai aeine?aeaeaiiy.

3a’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeaia ?iaioa ?
o?aaiaioii eiiieaenii? oaie «UACOS» (Ukrainian American Chernobyl Ocular
Study) ? aea?aeaaii? ?a?no?aoe?? 6-3-96. 47.

Iaoa ?iaioe: i?aeaeueoe aoaeoeai?noue o??o?a?/iiai e?eoaaiiy oai?eo ia
eaoa?aeoo oeyoii canoinoaaiiy iiai? iiaeae? ?IE aeey
aioo??oiueieainoeueii? o?enaoe??.

Caaea/? aeine?aeaeaiiy

1. Aeine?aeeoe oi?io eainoeueiiai i?oea i?e ?iieaioaoe?? ??cieo iiaeaeae
?IE.

2. Iaa?oiooaaoe iioeiaeueiee caaaeueiee ?ici?? ?IE aeey ?io?aeainoey?ii?
?iieaioaoe??.

3. ?ic?iaeoe iieacaiiy ? oaoi?eo ?iieaioaoe?? o?ueioiii?ii? ?IE,
aaeineiiaeeoe oaoi?eo ?acaeoe?? ia?aaeiuei? eainoee.

4. Aeine?aeeoe oeaio?aoe?th iiai? o?ueioiii?ii? iiaeae? oa a?aeiieo
iiaeaeae ?io?aeainoey?ieo ?IE.

5. Aeine?aeeoe aeeaeio ia?aaeiuei? eaia?e i?e canoinoaaii? ieineeo oa
aiaoeueiaaieo iiaeaeae o?ueioiii?ii? ?io?aieoey?ii? e?ice.

6. ?ic?aooaaoe A — eiinoaioo aeey ieinei? oa aiaoeueiaaii? iiaeaeae
o?ueioiii?ii? ?IE.

7. Ioe?ieoe aoaeoeai?noue o??o?a?/iiai e?eoaaiiy oai?eo ia eaoa?aeoo i?e
canoinoaaii? o?ueioiii?ii? iiaeae? ooo/iiai e?eooaeeea, iiaiai
?ino?oiaioa??y ? aaeineiiaeaii? oaoi?ee iia?aoe?? aeno?aeainoey?ii?
aeno?aeoe?? eaoa?aeoe.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

1. Anoaiiaeaia i?yia ei?aeyoe?eia caeaaei?noue i?ae ae?aiao?ii ?ia?aee
oa eainoeueiiai i?oea.

2. Anoaiiaeaia caeaaei?noue i?ae nooiaiai aeaoeaio?aoe?? iioe/ii?
/anoeie ?IE a?aeiinii iioe/ii? in? oa ei?eaiaaiith aino?ioith ci?o.

3. Anoaiiaeaia caaeeaeaiiy ia?aaeiuei? eaia?e, a cia/eoue ? ci?uaiiy
neeiaeaeiiai o?ea aeicaaeo, i?e ?iieaioaoe?? aiaoeueiaaii? o?ueioiii?ii?
iiaeae? ooo/iiai e?eooaeeea.

4. Anoaiiaeaia caeaaei?noue i?ae aeeaeiith ia?aaeiuei? eaia?e oa
?icoaooaaiiyi aiaoeueiaaii? iiaeae? ooo/iiai e?eooaeeea o eainoeueiiio
i?oeo.

I?aeoe/ia oe?ii?noue iaea?aeaieo ?acoeueoao?a

1. Aaeineiiaeaia oaoi?ea ?icoeio ia?aaeiuei? eainoee ca
aeiiiiiaith cai?iiiiiaaiiai eainoeueiiai i?ioeaoa aeey e?oaiaiai
eainoei?aenena.

2. Iie?auaia ye?noue aeeo/aiiy e?eooaeeeiaeo ian c aa?oiueiai
eainoeueiiai caiaeo ca ?aooiie canoinoaaiiy iiaeo eaitheue aeey
aeeo/aiiy e?eooaeeeiaeo ian.

3. ?ic?iaeai? iieacaiiy oa oaoi?ea ?iieaioaoe?? o?ueioiii?ii?
iiaeae? ooo/iiai e?eooaeeea I. I. Na?a??iei.

4. Aaeineiiaeaia oaoi?ea aei??o aeaoeaio?aoe?? iioe/ii? /anoeie ?IE.

5. Iaa?oioiaai iioeiaeueiee ?ici?? ?IE aeey ?io?aeainoey?ii?
?iieaioaoe??.

6. ?ic?aoiaaia A – eiinoaioa aeey ieineeo ? aiaoeueiaaieo
iiaeaeae o?ueioiii?ii? ?IE oai?eo ia eaoa?aeoo.

?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeai? a iooaeueiieia?/io i?aeoeeo
Oeaio?a i?e?io??o?a?? iea i.Ee?aa, aeei?enoiaothoueny i?ae /an
i?iaaaeaiiy eaeoe?e oa i?aeoe/ieo caiyoue ia eaoaae?? i/ieo oai?ia
EIAII. Io?eiaii 4 na?aeioeoaa ia ?aoei?iiiceoe??.

Iniaenoee aianie caeiaoaa/a. Aaoi?ii naiino?eii aeeiiaii 137
iia?aoe?e aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c ?iieaioaoe??th
??ciiiai?oieo iiaeaeae caaeiueieaia?ieo ?IE, aenia?eiaioaeueia ?iaioa,
i?iaaaeai? ee?i?/i? aeine?aeaeaiiy in?a, yeei aoea i?iaaaeaia
aeno?aeainoey?ia aeno?aeoe?y eaoa?aeoe c ?iieaioaoe??th ??ciiiai?oieo
iiaeaeae ?IE, noaoenoe/ia ia?iaea ? aiae?c io?eiaieo ?acoeueoao?a,
aeeiai?/ia niinoa?aaeaiiy iniiaieo a?oi oai?eo. Cai?iiiiiaai?
i?e?io??o?a?/i? ?ino?oiaioe ?ic?iaeai? noi?nii c caa?aeoth/ei eaoaae?e
i/ieo oai?ia Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe
i?ioani?ii I.I.Na?a??iei..

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy ?
iaoa??aee ca oaiith aeena?oaoe?? aeeeaaeai? oa iaaiai?ai? ia 8 eiia?an?
?iieaioieia?a ? ?ao?aeoe?eieo o??o?a?a (Aa?e?i, 1994), I?aeia?iaeiiio
neiiic?oi? “I?e?io??o?a?y iea. Aieea i?aeaeuaieo aeic ?aae?aoe??
ia i?aai ci?o” (Ee?a, 1994), ia 10 eiia?an? ?iieaioieia?a ?
?ao?aeoe?eieo o??o?a?a (Aoaeaiaoo, 1996), 9 c’?cae? iooaeueiieia?a
Oe?a?ie (Iaeana, 1996), OI ?a?iiaenueeiio eiia?an? iooaeueiieia?a
(Aoaeaiaoo, 1997), ia can?aeaiiyo Ee?anueeiai iaeaniiai
iooaeueiieia?/iiai oiaa?enoaa a 1996 ?., ia ni?eueiiio can?aeaii?
eaoaae?e i/ieo oai?ia Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii?
ina?oe ?i.I.E.Ooieea, eaoaae?e i/ieo oai?ia Iaoe?iiaeueiiai iaaee/iiai
oi?aa?neoaoo ?i.aeaae.I.I.Aiaiiieueoey, 1998.

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 10 ae?oeiaaieo
?ia?o, c ieo 3 noaoo? – a oaoiaeo iaoeiaeo aeo?iaeao, 1 – a
ca??oe? iaoeiaeo i?aoeue, 6 – a iaoa??aeao ? oacao eiioa?aioe?e.

Ianya ?iaioe. Aeena?oaoe?y neeaaea?oueny c anooio, 3 ?icae?e?a
aeanieo aeine?aeaeaiue, a yeeo aea?oueny iaeyae e?oa?aoo?e,
iaoa??aee ? iaoiaee aeine?aeaeaiiy, io?eiai? ?acoeueoaoe oa ?o aiae?c
? aeniiaee.

Aeena?oaoe?y aeeeaaeaia ia 130 noi??ieao iaoeiiieno, c ieo 13
noi??iie caeiathoue 21 iaethiie ? oioia?ao??, 5 noi??iie caeiathoue 9
oaaeeoeue. A nieneo aeei?enoaieo e?oa?aoo?ieo aeaea?ae – 247
iaeiaioaaiue, ye? ?ici?uothoueny ia 26 noi??ieao.

INIIAIEE 3I?NO

A ?iaio? canoiniaoaaeenue caaaeuei? oa niaoe?aeuei? iooaeueiieia?/i?
iaoiaee aeine?aeaeaiiy (a?ciiao??y, ?ao?aeoiiao??y, iooaeueiiiao??y,
a?ii?e?ineii?y, oeueo?acaoeiaa a?iiao??y iea, oiiiiao??y,
?ic?aooiie A – eiinoaioe aeey o?ueioiii?ii? iiaeae? ?IE),
iia? o??o?a?/i? ?ino?oiaioe oa ?ic?iaeaia i?e?io??o?a?/ia
oaoi?ea iia?aoe?? aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c
?iieaioaoe??th o?ueioiii?ii? ?IE, aenia?eiaioaeuei? aeine?aeaeaiiy.

Inueiaa aeaoeaio?aoe?y iioe/ii? /anoeie ?IE a?aeiinii ooieoe?iiaeueii?
iioe/ii? in? aecia/aeany ii iaoiaeo I. Nilvard, S. Dunn (1990).

Aenia?eiaioaeueia ?iaioa i?iaiaeeeany ia 50 o?oiieo aioeeaeiaaieo i/ao
ethaeeie. 3 iaoith aea/aiiy ei?aeyoe?? i?ae ae?aiao?ii eainoeueiiai
i?oea ? ae?aiao?ii ?ia?aee, aei??thaaeenue ae?aiao? ?ia?aee,
e?eooaeeea oa ae?aiao? aiaeieainoey?ii? ii?iaeieie i?ney aeeo/aiiy
e?eooaeeeiaeo ian.

Na?aaei? cia/aiiy ae?aiao?o ?ia?aee, e?eooaeeea,eainoeueiiai i?oea
neeaei:

?ia?aea 11.66 0.1 ii

e?eooaeee 9.61 0.087 ii

eainoeueiee i?oie 10.57 0.09 ii.

I?e ia?iaoe? io?eiaieo aeaieo aoea a?aecia/aia i?yia iiceoeaia
ei?aeyoe?eia caeaaei?noue i?ae ae?aiao?ii ?ia?aee oa eainoeueiiai i?oea
c eiao?oe??ioii ei?aeyoe?? 0.91 0.029 (?<0, 0001). Oaeei /eiii, aeei?enoiaoth/e eiao?oe??io ei?aeyoe?? oa ae?aiao? ?ia?aee iiaeia aecia/eoe ae?aiao? eainoeueiiai i?oea. Aeey oiai, uia aecia/eoe, ye? o?oaeiiu? aeieeaee a oiae? ?iieaioaoe??, noai eainoeueiiai i?oea i?ney ?iieaioaoe??, oene e?ioe?a iii?ieo aeaiaio?a ia oeee?a?ia o?ei, ooo/i? e?eooaeeee ii/a?aiai ?ici?uoaaeeny a eainoeueiiio i?oeo. Aeey ii??aiyiiy aeei?enoiaoaaee caaeiueieaia?i? ?IE: 1) c aeaiia N- ? J-oi?iieie iii?ieie aeaiaioaie o??ie Alcon; 2) n?e?eiiiaee aeene, iiaeaeue 9I D, o??ie Adatomed; 3) iiaeaeue O-26, IIOE "I?e?io??o?a?y iea"; 4) iiaeaeue A.I.Ieaen??aa c aeaiia ieanoeeiaeie iii?ieie aeaiaioaie, 5) o?ueioiii?ia iiaeaeue ?io?aieoey?ii? e?ice I. I. Na?a??iei. O?ueioiii?ia iiaeaeue ooo/iiai e?eooaeeea yaey? niaith aeaiyeiaeioeeo e?ico c iie?iaoeeiaoae?eeaoo ae?aiao?ii 6 ii c o?ueiia iii?ieie aeaiaioaie c iie?aieaeii? ieo?, ?icoaoiaaieie /a?ac eiaei? 120. Ieaei?e iii?iee aeaiaio yaey? niaith N-oi?iio iai?aiaoeth. Aa?oi?e iii?iee aeaiaio yaey? niaith ia?o N-oi?iieo iai?aiaoaeue, ni?yiiaaieo iacono??/ iaeei aei iaeiiai. Iaeaeaa aa?oi?o iii?ieo aeaiaioa o?eniaai? a e?ic? ii e?ath ?? iioe/ii? ciie ia?iaiaeeeoey?ii aei ?? ieiueie. A 42 e?icao o?ueioiii?ii? iiaeae? iii?i? aeaiaioe aoee o?eniaai? i?ae eooii 10 aei ieiueie e?ice. Caaaeueiee ae?aiao? ?io?aieoey?ii? e?ice 10-10, 5 ii . N?e?eiiiaee aeene ? o?ueioiii?ia iiaeaeue ?IE iaeeaaoa ?ici?uoaaeeny a eainoeueiiio i?oeo. ?IE o??ie Alcon aac o?oaeiiu?a caaiaeeeany a eainoeueiee i?oie, iaeiae oea aeiaaaei ?iciaoenoiai iiai?ioo aa?oiuei? iai?aiaoe?. Ooo/i? e?eooaeeee iiaeae? O-26 ? A.I. Ieaen??aa iaiiaeeeai aoei caaanoe a eainoeueiee i?oie aiane?aeie ?oiuei? ?ea?aeiino?. A?eueo? ii ?ici??o ooo/i? e?eooaeeee aeaoi?ioaaee eainoeueiee i?oie, i?i ui na?ae/eea iiyaa neeaaeie ia caaei?e eainoe? oa ci?ia oi?ie ioai?o eainoei?aenena. E?ioe? iii?ieo aeaiaio?a ?icoaoiaoaaeeny a aaciina?aaei?e aeecueeino? a?ae oeee?a?ieo a?ae?inoe?a, a a aeayeeo aeiaaeeao aecia/aee oene ia ieo. Aeey aeinyaiaiiy iaeneiaeueiiai aoaeoo c i?i?iaeueiith o?aaiaoecaoe??th oa o?eaae?noth iia?aoe?? ii cai?iiiiiaai?e iaoiaeeoe? ?ic?iaeaia ne?aeoth/a oaoi?/ia iniauaiiy: 1) eaitheueiaaiee eainoeueiee i?ioeao aeey e?oaiaiai eainoei?aenena; 2) eaithe? aeey aeeo/aiiy e?eooaeeeiaeo ian c aa?oiueiai caiaeo eainoeueiiai i?oea. I?e i?e?io??o?a?? ia?aaeiuei? eainoee aeei?enoaii ?ic?iaeaiee iaie eainoeueiee i?ioeao, yeee aeicaiey? aee?ithaaoe a ia?aaei?e eainoe? ioa?? iaiao?aeiiai ae?aiao?o, iacaeaaeii a?ae oe?eie c?ieoe? ? u?eueiino? eainoee, a oaeiae aeeiioaaoe e?oaiaee eainoei?aenen ca oiiae iino?eiiai i?aeo?eiaiiy aeeaeie ia?aaeiuei? eaia?e, aac canoinoaaiiy a?neiaeanoe/ieo cania?a. ?ino?oiaio oyaeaiee i?ioeaoii, aei eiaeii? c a?aio yeiai o?eniaaii ii o?oaoe?. A a?aioo A aiayia o?oaea 1 ae?aiao?ii 0.9 ii, e?iaoeue yei? c?aiooee i?ae eooii 60 aeina?aaeeie, ia? o?eeooio eiio?ao?aoe?th c caaino?aiei ?iai/ei e?ioeai. A a?aioo A aiayia o?oaea 2 - ae?aiao?ii 0.7 ii, a e?iaoeue yei? aiiioiaa-iee oooooea? C aeey iiaea/? ??aeeie 4. E?iaoeue ?? oaeiae c?aiooee aeina?aaeeie i?ae eooii a0, ia? o?eeooio oi?io oa caaino?aiee ?iai/ee e?iaoeue. Oiiea o?oaea 2 ?ici?uaia a oiano?e ? eaaei ?ooa?oueny a i?e. I?e noeneaii? a?aio A oa A a?aeaoaa?oueny u?eueia cieeaiiy ?iai/eo iaeaeai/ee?a ?ino?oiaioo, a ?acoeueoao? yeiai a?aeaoaa?oueny i?oeia caoiieaiiy eainoee e?eooaeeea ? aoaeue-yeeo ?ioeo oeaiei . Aeey ?aoaeueiiai aeeo/aiiy e?eooaeeeiaeo ian, eieae?ciaaieo o ia?eae?ai? O1 – 1 aiaeeie, iaie aaeineiiaeai? eaithe?, ui aeicaieythoue oieeiooe ii?aiaiiy caaeiuei? eainoee, iniaeeai o aeiaaeeo caoaeaiiy c?ieoe?, a oaeiae i?ney aeeiiaiiy e?oaiaiai eainoei?aenena. Eiaeia eaithey aeeiiaia c ?i'?eoe?eii? aieee c ciai?oi?i ae?aiao?ii 0.7 ii ? aioo??oi?i ae?aiao?ii 0.45 ii. Eaithey ia? aeaa caeie: iaeei - iina?aaeei? eaithe?, ?ioee – o naiiai ?? e?ath. Ia?oee caei neoaeeoue aeey c?o/iino? iai?ioeyoe?e. Ae?oaee caei, ?ici?uaiee a 1.5 ii a?ae e?ioey eaithe?, aeeiiaiee ia iaei?e eaithe? i?aai?o/, a ia ?io?e – e?ai?o/ a?ae in? oi?eoea. Eaithe? c i?aainoi?iii?i caeiii neoaeaoue aeey aeeo/aiiy e?eooaeeeiaeo ian a i?inoi?? eainoeueiiai i?oea a?ae 9 aei 12 a., eaithe? c e?ainoi?iii?i caeiii - a?ae 12 aei 3 a. Aeeeaaeai? a ?iaio? ee?i?/i? niinoa?aaeaiiy i?iaaaeai? ia 311 oai?eo (344 iea) a ee?i?oe? eaoaae?e i/ieo oai?ia Ee?anueei? aeaaeai?? i?neyaeeieiiii? ina?oe ia aac? Oeaio?o i?e?io??o?a?? iea i.Ee?aa. Oai?ei i?iaaaeaia aeno?aeainoey?ia aeno?aeoe?y eaoa?aeoe c ?iieaioaoe??th: 1) ooo/iiai e?eooaeeea c aeaiia N-oi?iieie iii?ieie aeaiaioaie ? iioe/iith /anoeiith ae?aiao?ii 5.5 – 6.0 ii. Caaaeueiee ?ici?? ?io?aieoey?ii? e?ice 12.0 – 12.5 ii (146 i/ae) – O- 1, 2) ?IE iiaeae? O-26 N.I.Oaaei?iaa, A.A.?ai?iai?; iioe/iee aeaiaio ae?aiao?ii 5.0 ii, ?ici?? ?iieaioaoa 11.0 ii (57 i/ae) – O-2, 3) o?ueioiii?ia ?io?aieoey?ia e?ica (O-36); iioe/iee aeaiaio ae?aiao?ii 6.0 ii c o?ueiia iii?ieie aeaiaioaie, ?ici?? ?iieaioaoa – 10.0 – 10.5 ii (141 iei) – O-3. C ieo 42 ooo/ieo e?eooaeeea – aiaoeueiaai?. Aeo?aeia aino?ioa ci?o o oai?eo aoea a?ae na?oeia?ae/oooy c i?aaeeueiith i?iaeoe??th na?oea aei 0.2. I?e ?icoeii? ia?aaeiuei? eainoee aeei?enoiaoaaeenue o?e iaoiaeeee: - e?oaiaee eainoei?aenen, - e?oaiaee eainoei?aenen c aa?oeeaeueiith ian?/eith ia 12 a., - ai?eciioaeueia eainoeioii?y ii iaoiaeo A.I.Ieaen??aa. Aiae?c ?acoeueoao?a ?iieaioaoe?? ??ciiiai?oieo iiaeaeae ?IE iieacaa, ui i?e ?iieaioaoe?? o?ueioiii?ii? iiaeae? ?IE aino?ioa ci?o a?aeiiaeth?oueny oaeaeoa, i?ae i?e ?iieaioaoe?? ?ioeo iiaeaeae ?IE: aino?ioa ci?o 0.5 – 1.0 /a?ac 1 i?n. i?ney aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c ?iieaioaoe??th ?IE c aeaiia N-oi?iieie aeaiaioaie aeinyaiooa a 65.1 % aeiaaee?a, ?IE iiaeae? O- 26 – a 61.2 % aeiaaee?a, o?ueioiii?ii? iiaeae? ?IE – a 78.7 % aeiaaee?a (? < 0.01). A ?aiiueiio i?neyiia?aoe?eiiio ia??iae? (1-2 oeaeiy) iaiao?aeii a?aecia/eoe aeieeiaiiy ia?aaeiueiai oaa?oa a 29 aeiaaeeao (19.9 %) aeey O-1, a 10 aeiaaeeao (17.5 %) aeey O-2, o 17 aeiaaeeao (12 %) aeey O-3 (i?e ?iieaioaoe?? aiaoeueiaaii? iiaeae? O-36 – a 2 aeiaaeeao (4.8 %)). I?e ianoaaeaii? oai?eo o a?aeaeaeaiiio ia??iae? i?ney iia?aoe?? a oa?i?ie a?ae 2 i?n. aei 3 ?ie?a aeyaeaia aoi?eiia eaoa?aeoa ia 79 i/ao. I?ney ?iieaioaoe?? ooo/iiai e?eooaeeea O - 1 – ia 39 i/ao (26.7 %), O - 2 – ia 15 i/ao (26.3 %), O – 3 – ia 25 i/ao (17.7 %). A?aecia/aii, ui i?e ?iieai-oaoe?? aiaoeueiaaii? iiaeae? ?IE O-36 aoi?eiia eaoa?aeoa aeyaeaia ia 4 i/ao (9.5 %). O a?aeaeaeaiiio i?neyiia?aoe?eiiio ia??iae? e??i aoi?eiii? eaoa?aeoe, ui aaaea aei cieaeaiiy aino?ioe ci?o, aoee aeyaeai? ua e ?io? i?e/eie, ui i?aaenoaaeai? a oaaeeoe? 1. Oaaeeoey 1 Oneeaaeiaiiy a?aeaeaeaiiai i?neyiia?aoe?eiiai ia??iaeo i?ney aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c ?iieaioaoe??th ??ciiiai?oieo iiaeaeae ?io?aieoey?ieo e?ic. Oneeaaeiaiiy Oei – 1 (e?euee?noue Oei - 2 i/ae) Oei – 3Ai?oae?aeueii-aiaeioae?aeueia aeeno?io?y 1 0,7 % - -Iaeoeiiao?y (neiae?ii ??aei-Aanna) 3 2,1 % 1 1,8 % 1 0,7 %Aeaoeaio?aoe?y ?IE 19 13,1 % 6 10,5 % 8 5,7 %A?aeoa?oaaiiy n?oe?aee 2 1,4 % 1 1,8 % - Aiae?coth/? aeai? oaaeeoe? 1 aeaeii, ui oei oneeaaeiaiue oa ?o /anoioa i?e ?iieaioaoe?? ??ciiiai?oieo iiaeaeae ooo/ieo e?eooaeee?a ??ciiiai?oi?. Iaea?eueoee a?aenioie oneeaaeiaiue niinoa??aa?oueny i?e ?iieaioaoe?? ?IE c aeaiia N-oi?iieie iii?ieie aeaiaioaie, iaeiaioee i?e ?iieaioaoe?? o?ueioiii?ii? iiaeae? ?IE (17.3 % oa 6.4 %, a?aeiia?aeii, (? < I.II1)). Aeaoeaio?aoe?y iioeee ooo/iiai e?eooaeeea a?aeiinii oeaio?o c?ieoe? niinoa??aaeany a on?o 3 a?oiao oai?eo. Ii??aithaaiiy on?o a?oi iieacaei,ui iaeieae/ee a?aenioie aeaoeaio?aoe?? aoa o a?oi? oai?eo c ?IE Oeio - 3 (oaaeeoey 2). Oaaeeoey 2 Iieiaeaiiy iioe/ii? /anoeie ?IE a?aeiinii oeaio?o c?ieoe?. ?icoaooaaiiy ?IE a?aeiinii oeaio?a c?ieoe? Oei – 1 146 i/ae Oei – 2 57 i/aeOei - 3 141 ieiOeaio?aeueia iieiaeaiiy 127 (87 %) 51 (89,4 %)133 (94,3 %)Aeaoeaio?aoe?y iaio 0,5 ii 11 (7,5 %) 2 (3,5 %) 6 (4,3 %)Aeaoeaio?aoe?y 0,5-1,0 ii 6 (4,1 %) 3 (5,2 %) 1 (0,7 %)Aeaoeaio?aoe?y 1,1-2,0 ii - 1 (1,8 %) 1 (0,7 %)Aeaoeaio?aoe?y a?eueo 2,0 ii 2 (1,5 %) - - Na?aaeiy aeaoeaio?aoe?y iioe/ii? /anoeie ?IE i?e ?iieaioaoe?? ?IE c aeaiia N - oi?iieie aeaiaioaie neeaea 0.7 0.14 ii, i?e ?iieaioaoe?? ?IE iiaeae? O-26 – 0.7 0. 18 ii, i?e ?iieaioaoe?? o?ueioiii?ii? iiaeae? ?IE – 0.48 0.11 ii. Caeaaei?noue aino?ioe ci?o a?ae nooiaiy aeaoeaio?aoe?? ?IE i?aaenoaaeaia a oaaeeoe? 3. Oaaeeoey 3 Caeaaei?noue ooieoe?iiaeueieo ?acoeueoao?a iia?aoe?e o oai?eo c ?iieaioiaaieie caaeiueieaia?ieie e?icaie a?ae ?icoaooaaiiy ?IE a?aeiinii oeaio?o c?ieoe?. ?icoaooaaiiy ?IE a?aeiinii oeaio?a c?ieoe? E?euee?noue i/ae Aino?ioa 0,08 - 0,2 ci?o 0,3 - 0,4 c 0,5 - 0,6 ei?ae 0,7 – 0,8 oe??th 0,9 - 1,0Oeaio?aeueia 311 (90,4 %)32 (9,3 %)48 (14 %)71 (20,6 %)73 (21,2 %)87 (25,3 %)Aeaoeaio?i- aaia33 (9,6 %)8 (2,3 %)5 (1,5 %)11 (3,2 %)9 (2,6 %)--iaioa 0,5 ii19 (5,5 %)2 (0,6 %)2 (0,6 %)9 (2,7 %)8 (2,3 %)-0,5 – 1,0 ii10 (2,9 %)2 (0,6 %)3 (0,9 %)2 (0,6 %)1 (0,3 %)-1,0 - 2,0 ii2 (0,6 %)2 (0,6 %)-----a?eueo 2,0 ii2 (0,6 %)2 (0,6 %)---- O 8 aeiaaeeao aeieeea iio?aaa o o??o?a?/i?e ei?aeoe?? aeaoeaio?aoe?? ?IE: a 4 aeiaaeeao aeey O - 1, a 3 aeiaaeeao - aeey O - 2, a 1 aeiaaeeo aeey O – 3. Aei?? aeeaeie ia?aaeiuei? eaia?e iieacaa, ui i?e ?ieeaioaoe?? ieinei? iiaeae? o?ueioiii?ii? ?IE aeeaeia ia?aaeiuei? eaia?e neeaea 3.74 0.042 ii, i?e ?iieaioaoe?? aiaoeueiaaii? iiaeae? o?ueioiii?iiai ooo/iiai e?eooaeeea – 4.91 0.1C ii. I?e aioo??oiueieainoeueiiio ?icoaooaaii? aiaoeueiaaii? iiaeaei aeeaeia ia?aaeiuei? eaia?e - 5.39 0.035 ii, i?e ci?oaiiio ?icoaooaaii? “bag – sulcus” – 4.42 0.0098 ii. ??aaiue cia/eiino? a?aei?iiino? iieaciee?a aeeaeie ia?aaeiuei? eaia?e ? < 0.01. Na?aaei? a?eoiaoe/ia cia/aiiy A-eiinoaioe aeey ieinei? iiaeae? o?ueioiii?iiai ooo/iiai e?eooaeeea neeaei 119.3 0.26. Na?aaei? a?eoiaoe/ia cia/aiiy A-eiinoaioe aeey aiaoeueiaaii? iiaeae? ?IE neeaei 118.55 0.198. I?iaaaeaia iiaia ee?i?/ia ianoaaeaiiy iaoe??io?a a ??ci? oa?i?ie i?ney aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c iaeii/aniith ?iieaioaoe??th ooo/iiai e?eooaeeea o?ueioiii?ii? iiaeae? iieacaei, ui 92.3 % i?iiia?iaaieo oai?eo i?aoeacaeaoiiai a?eo iiaa?ioeeny aei nai?o i?ioan?e. Oaeei /eiii, iiaeia aiai?eoe i?i oa, ui ?ic?iaeaia iaoiaeeea aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c ?iieaioaoe??th o?ueioiii?ii? iiaeae? EIE I.I. Na?a??iei ? aa??aioii aeai?o i?e e?eoaaii? oai?eo ia eaoa?aeoo. AENIIAEE 1. Aenia?eiaioaeueieie aeine?aeaeaiiyie anoaiiaeaii, ui ?iieaioaoe?y a eainoeueiee i?oie ae?aiao?ii 10.57 ii aeaooiii?ieo ooo/ieo e?eooaeee?a ?ici??ii 12.0-12.5 ii aeeeeea? eiai aeaoi?iaoe?th, ooai?aiiy neeaaeie caaeiuei? eainoee oa aeaoi?iaoe?th ioai?o eainoei?aenena. 2. A aenia?eiaio? anoaiiaeaii, ui o?ueioiii?ia iiaeaeue ?IE ?ici??ii 10.5 ii eaaei ?iieaioo?oueny, caeia? noaa?eueia iieiaeaiiy a eainoeueiiio i?oeo ? ia aeeeeea? eiai aeaoi?iaoe??, ui aeicaieeei ciaioeoe e?euee?noue ?io?a- oa i?neyiia?aoe?eieo oneeaaeiaiue. 3. ?ic?iaeaia o??o?a?/ia oaoi?ea, aeeth/ath/a aeeiiaiiy e?oaiaiai eainoei?aenena cai?iiiiiaaiei eaitheueiaaiei i?ioeaoii, ?aoaeueia aeieaaiiy e?eooaeeeiaeo ian, cai?aaeaiiy aa?oi?o iii?ieo aeaiaio?a ia iiai?noth ooeo?e eainoe? iea, aeicaiey? ao?aaiaoe/ii ?iieaiooaaoe o?ueioiii?io ?IE a eainoeueiee i?oie ? aeiaeoeny aoaeoeaii? ?aaa?e?oaoe?? oai?eo ia eaoa?aeoo c iiaa?iaiiyi aei nai?o i?ioan?eieo iaia'yce?a a 93.4 % aeiaaee?a. 4. I?aeoaa?aeaeaii, ui aeaoeaio?aoe?y ?IE coiiaeth? cieaeaiiy ci?iaeo ooieoe?e a?oeoae?/iiai iea. Ii??aiyeueia ioe?iea oeaio?aoe?? ??cieo iiaeaeae ?IE iieacaea, ui nooi?iue aeaoeaio?aoe?? o?ueioiii?ii? iiaeae? ?IE iaeiaioa ? neeaea 0.48 0.11 ii. 5. Ii??aiyeuei? aeine?aeaeaiiy iieacaee, ui i?e ?iieaioaoe?? aiaoeueiaaii? o?ueioiii?ii? iiaeae? aeeaeia ia?aaeiuei? eaia?e aeyaeeany aeeaoa ia 1.65 ii, i?ae i?e ?iieaioaoe?? ieinei? iiaeae? ?IE, ui aeyaey? aoaeo no?eioaaiiy a ci?uaii? neeiaeaeiiai o?ea eia?aaeo i?ney aeno?aeoe?? eaoa?aeoe, ui aeicaieeei caanoe aei i?i?ioio ?ecee aeieeiaiiy a a?aeaeaeaiiio ia??iae? a?aeoa?oaaiiy n?oe?aee oa iaeoey?iiai iaa?yeo. 6. ?ic?aoiaaia A - eiinoaioa aeey aiaoeueiaaii? (118.55 0.198) oa ieinei? iiaeae? (119.3 0.26) o?ueioiii?ii? ?IE aeicaiey? ciaioeoe iiieeeo a ?ic?aooieo i?aeiieyth/i? neee ?IE ? iiaea aooe ?aeiiaiaeiaaia aeey i?aeoe/iiai aeei?enoaiiy i?e ?iaio? c ?aa?aneaieie oi?ioeaie. 7. ?ic?iaeaia oaoiieia?y aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe c iaeii/aniith ?iieaioaoe??th o?ueioiii?ii? iiaeae? ooo/iiai e?eooaeeea iiaeae? I.I.Na?a??iei i?inoa oa aeinooiia aeey oe?ieiai i?aeoe/iiai canoinoaaiiy, ? aenieiaoaeoeaiei iaoiaeii ?aaa?e?oaoe?? oai?eo ia eaoa?aeoo, aeicaieyth/e io?eiaoe aino?ioo ci?o c ia?aiiniith ei?aeoe??th 0.5 ? aeua a 92.3 % aeiaaee?a. NIENIE I?AOeUe, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe?? 1. Na?aeaiei I.I., Ooiaiiaa I.A. Eino?oiaio aeey eainoei?aenena // Iooaeueiie. aeo?i. – 1997. - ? 2. – N.150-151. 2. Ooiaiiaa I.A. Enneaaeiaaiea oeaio?aoeee caaeiaeaia?iuo iiaeaeae eio?aieoey?iuo eeic//Iooaeueiie.aeo?i. – 1997. - ? 6. – N. 417-420. 3. Na?aeaiei I.I., Ooiaiiaa I.A. Eaithee aeey anie?aoeee o?onoaeeeiauo iann // Iooaeueiie.aeo?i. – 1997. - ? 6. – N. 456-457. 4. Ooiaiiaa I.A. ?acoeueoaoe ?iieaioaoe?? iiai? iiaeae? ?io?aieoey?ii? e?ice aeey aioo??oiueieainoeueii? o?enaoe?? // Ca??iee iaoeiaeo i?aoeue OO tha?eaeii? eiioa?aioe?? iieiaeeo a/aieo EIAII IIC Oe?a?ie. – E.: Caei?ia'y, 1997. – N.294-297. 5. Sergienko N., Tumanova O. IOL fur Kapselsackfixation // 8 Kongres der Deutschsprachigen Gesellschaft fur Intraokularlinsen – Implantation. – Programm Kurzfassungren der Vortrage. – Berlin. - 1994. – S.77. 6. Sergienko N., Tumanova O. Die Pinzette fur Kapsulorhexis//10 Kongres der Deutschsprachigen Gesellschaft fur Intraokularlinsen – Implantation und refraktive Chirurgie. – Budapest. – 1996. – S.4. AIIOAOe?ss Ooiaiiaa I.A. Ee?i?ei-aenia?eiaioaeueia aeine?aeaeaiiy ?iieaioaoe?? o?ueioiii?ii? iiaeae? ?IE c aioo??oiueieainoeueii? o?enaoe??. - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.18 – i/i? oai?iae.- ?inoeooo i/ieo oai?ia ? oeaieiii? oa?ai?? ?i.A.I.O?eaoiaa AII Oe?a?ie, Iaeana, 1999. Aeena?oaoe?th i?enay/aii ieoaiiyi ?io?aieoey?ii? ei?aeoe?? aoae??, oaeineiiaeaiith o??o?a?/ii? oaoi?ee aeno?aeainoey?ii? aeno?aeoe?? eaoa?aeoe. A aeena?oaoe?? i?aaenoaaeai? ?acoeueoaoe aenia?eiaioaeueieo aeine?aeaeaiue 50 aioeeaeiaaieo i/ae ethaeeie, ee?i?/ieo aeine?aeaeaiue 344 i/ae iaoe??io?a i?ney ?iieaioaoe?? ??cieo iiaeaeae ?IE, ni?yiiaaieo ia i?aeaeuaiiy aoaeoeaiino? o??o?a?/iiai e?eoaaiiy oai?eo ia eaoa?aeoo. Anoaiiaeaii, ui o?ueioiii?ia iiaeaeue ?IE ?ici??ii 10.5 ii caeia? noaa?eueia iieiaeaiiy a eainoeueiiio i?oeo oa ia aeeeeea? eiai aeaoi?iaoe??. Iieacaii, ui iaaeeaeaiiy ae?aiao?a ?IE aei ae?aiao?a eainoeueiiai i?oea, aeaei iiaeeea?noue cieceoe e?euee?noue ?io?aiia?aoe?eieo oa i?neyiia?aoe?eieo oneeaaeiaiue, oaeeo ye aeaoeaio?aoe?y iioe/ii? /anoeie ?IE, oaa?o, aoi?eiia eaoa?aeoa, ui aeicaieeei i?aeaeueoe aeeiai?eo a?aeiiaeaiiy aino?ioe ci?o a 1 i?n. i?ney iia?aoe??. ?ic?iaeaia o??o?a?/ia oaoi?ea ca aeiiiiiaith cai?iiiiiaaiiai o??o?a?/iiai ?ino?oiaioa??y, aeicaiey? ao?aaiaoe/ii ?iieaiooaaoe o?ueioiii?io iiaeaeue ?IE a eainoeueiee i?oie oa aeiaeoeny aoaeoeaii? ?aaa?e?oaoe?? oai?eo ia eaoa?aeoo a 93 % aeiaaee?a. Eeth/ia? neiaa: aeno?aeainoey?ia aeno?aeoe?y eaoa?aeoe, o?ueioiii?ia iiaeaeue ?io?aieoey?ii? e?ice, aeaoeaio?aoe?y iioe/ii? /anoeie ?IE, eainoeueiee i?oie. AIIIOAOeEss. Ooiaiiaa I.A. Eeeieei-yenia?eiaioaeueiia enneaaeiaaiea eiieaioaoeee o?aoiii?iie iiaeaee EIE n aioo?eeainoeueiie oeenaoeee. - ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.18 – aeaciua aieacie. - Einoeooo aeaciuo aieaciae e oeaiaaie oa?aiee ei.A.I.Oeeaoiaa AII Oe?aeiu, Iaeanna, 1999. Aeenna?oaoeey iinayuaia aii?inai eio?aieoey?iie ei??aeoeee aoaeee, oniaa?oainoaiaaieth oe?o?ae/aneie oaoieee yeno?aeainoey?iie yeno?aeoeee eaoa?aeou. Iauai?eciaii, /oi iaeaieaa oeceieiae/iie yaeyaony eio?aeainoey?iay oeenaoeey eio?aieoey?iuo eeic. Aieueoia eiee/anoai eniieuecoaiuo a ianoiyuaa a?aiy iiaeaeae EIE naeaeaoaeuenoaotho ia ionoonoaee aaeeiiai iiaiey i i?eioeeiao eiino?oe?iaaiey ia?niaeoeaiuo iiaeaeae eneonnoaaiiuo o?onoaeeeia. R.Drews noi?ioee?iaae iniiaiua o?aaiaaiey, i?aaeuyaeyaiua e nia?aiaiiui eio?aieoey?iui eeicai: ieieiaeueiue eiioaeo n aeoeaii iaoa-aieece?othuae oeaiueth, ieieiaeueiay iiaeaeaeiinoue, ieieiaeueiia aeaaeaiea ia ie?oaeathuea oeaie. Aieueoeinoai nouanoaothueo iiaeaeae ia niioaaonoaotho yoei o?aaiaaieyi. Oeaeueth ?aaiou yaeeinue - iiauoaiea yooaeoeaiinoe oe?o?ae/aneiai ea/aiey aieueiuo eaoa?aeoie iooai eniieueciaaiey iiaie iiaeaee EIE aeey aioo?eeainoeueiie oeenaoeee. ?aaioa niaea?aeeo ?acoeueoaou yenia?eiaioaeueiuo enneaaeiaaiee 50 yioeeae?iaaiiuo aeac /aeiaaea, oeaeueth eioi?uo auei iainiiaaiea iioeiaeueiiai aeeaiao?a EIE aeey aioo?eeainoeueiie oeenaoeee. A yenia?eiaioaeueiie ?aaioa i?aaenoaaeaiu aeaiiua ecia?aiey aeeaiao?a ?iaiaeoeu, o?onoaeeea, eainoeueiiai iaoea iinea oaeaeaiey o?onoaeeeiauo iann; aeaiiua i ninoiyiee eainoeueiiai iaoea, oeeeea?iiai oaea e oeeeea?iuo io?inoeia iinea eiieaioaoeee o?aoiii?iie iiaeaee eneonnoaaiiiai o?onoaeeea e ae?oaeo iiaeaeae EIE, i?aaeeiaeaiiuo aeey aioo?eeainoeueiie oeenaoeee. Aiaeec ?acoeueoaoia yenia?eiaioaeueiie ?aaiou iieacae i?yioth ei??aeyoeeiiioth caaeneiinoue iaaeaeo aeeaiao?ii ?iaiaeoeu e eainoeueiiai iaoea n eiyooeoeeaioii ei??aeyoeee 0.910.029 (?< 0.001). Onoaiiaeaii, /oi o?aoiii?iay iiaeaeue EIE ?acia?ii 10,5 ii caieiaao noaaeeueiia iieiaeaiea a eainoeueiii iaoea e ia aucuaaao aai aeaoi?iaoeee. Inaaay aeaoeaio?aoeey iioe/aneie /anoe EIE ioiineoaeueii ooieoeeiiaeueiie iioe/aneie ine ii?aaeaeyeanue ii iaoiaeo M.Colvard, S.Dunn(1990). I?e iee?ioe?o?aee ia?aaeiae eainoeu eniieueciaai iiaue eainoeueiue ieioeao, eioi?ue iicaieyao aue?aeaaoue a ia?aaeiae eainoea ioaa?noea iaiaoiaeeiiai aeeaiao?a, iacaaeneii io oe?eiu c?a/ea e ieioiinoe eainoeu, a oaeaea auiieiyoue e?oaiaie eainoei?aenen i?e oneiaee iinoiyiiiai iiaeaea?aeaiey aeoaeiu ia?aaeiae eaia?u, aac aeneii?ioaeoi?ia. Aeey ouaoaeueiiai oaeaeaiey o?onoaeeeiauo iann, eieaeecothueony a ia?eaeeaia OI–I /., oniaa?oainoaiaaiu eaithee, eioi?ua iicaieytho ecaaaeaoue ?aiaiey caaeiae eainoeu, iniaaiii a neo/aa noaeaiey c?a/ea, a oaeaea iinea auiieiaiey e?oaiaiai eainoei?aenena. Eeeie/aneea enneaaeiaaiey i?iaaaeaiu ia 344 aeacao iaoeeaioia iinea yeno?aeainoey?iie yeno?aeoeee eaoa?aeou n eiieaioaoeeae: o?aoiii?iie eio?aieoey?iie eeicu iiaeaee I.I.Na?aeaiei, EIE n aeaoiy N-oi?iiuie iii?iuie yeaiaioaie, EIE iiaeaee O-26 N.I.Oaaei?iaa, Y.A.Aai?iaie. I?e ane?uoee ia?aaeiae eainoeu eniieueciaaeenue o?e iaoiaeeee: e?oaiaie eainoei?aenen, e?oaiaie eainoei?aenen n aa?oeeaeueiie iana/eie ia 12 /anao, ai?eciioaeueiay eainoeioiiey ii iaoiaeo A.I.Aeaenaaaa. Aiaeec ?acoeueoaoia eiieaioaoeee ?acee/iuo iiaeaeae EIE iieacae, /oi i?e eiieaioaoeee o?aoiii?iie iiaeaee EIE ino?ioa c?aiey ainnoaiaaeeaaaony auno?aa, /ai i?e eiieaioaoeee ae?oaeo iiaeaeae EIE. A ?aiiai iineaiia?aoeeiiiii ia?eiaea ioia/aii aicieeiiaaiea ia?aaeiaai oaaeoa ni cia/eoaeueii iaiueoae /anoioie i?e eiieaioaoeee o?aoiii?iie iiaeaee EIE. A ioaeaeaiiii iineaiia?aoeeiiiii ia?eiaea auee auyaeaiu: aoi?e/iay eaoa?aeoa, yieoaeeaeueii-yiaeioaeeaeueiay aeeno?ioey, iaeoeiiaoey, aeaoeaio?aoeey iioe/aneie /anoe EIE, ioneieea nao/aoee. Aiaeec aeaiiuo iineaiia?aoeeiiiuo ineiaeiaiee iieacae, /oi iaeaieueoee i?ioeaio ineiaeiaiee iaaethaeaaony i?e eiieaioaoeee EIE n aeaoiy N-oi?iiuie iii?iuie yeaiaioaie, iaeiaiueoee i?e eiieai-oaoeee o?aoiii?iie iiaeaee EIE. Iaeiaiueoee i?ioeaio e noaiaiue aeaoeaio?aoeee ioia/ai a a?oiia aieueiuo n eiieaioe?iaaiiie o?aoiii?iie iiaeaeueth EIE. Iieacaii, /oi aeoaeia ia?aaeiae eaia?u i?e eiieaioaoeee aiaoee?iaaiiie iiaeaee o?aoiii?iie EIE oaaee/eaaaony, /oi ieacuaaao yooaeo naea?aeeaaiey a niauaiee noaeeiaeaeiiai oaea eia?aaee iinea yeno?aeainoey?iie yeno?aeoeee eaoa?aeou. E?iia yoiai, ii cia/aieth aeoaeiu ia?aaeiae eaia?u iiaeii i?aaeiieiaeeoue ?aniieiaeaiea EIE a eainoeueiii iaoea. Oaeei ia?acii, i?eaeeaeaiea aeeaiao?a EIE e aeeaiao?o eainoeueiiai iaoea, aeaei aiciiaeiinoue nieceoue eiee/anoai eio?aiia?aoeeiiiuo e iineaiia?aoeeiiiuo ineiaeiaiee, /oi iicaieeei iiauneoue aeeiaieeo ainnoaiiaeaiey ino?iou c?aiey a 1 ian. iinea iia?aoeee. ?ac?aaioaiiay oe?o?ae/aneay oaoieea n iiiiuueth i?aaeeiaeaiiiai oe?o?ae/aneiai eino?oiaioa?ey, iicaieyao ao?aaiaoe/ii eiieaioe?iaaoue o?aoiii?ioth EIE a eainoeueiue iaoie e aeiaeoueny yooaeoeaiie ?aaaeeeoaoeee aieueiuo eaoa?aeoie a 93 % neo/aaa. Eeth/aaua neiaa: yeno?aeainoey?iay yeno?aeoeey eaoa?aeou, o?aoiii?iay iiaeaeue eio?aieoey?iie eeicu, aeaoeaio?aoeey iioe/aneie /anoe EIE, eainoeueiue iaoie. SUMMARY Tumanova O.V. The Experimental Clinic Research of Implantation of three-pieces model of IOL with intraocular fixation. - Manuscript. Thesis for a candidate's degree by speciality 14.01.18 – eye diseases. - The Filatov Institute of Eye Diseases and Tissue Therapy, the Academy Medical Science of Ukraine, Odessa, 1999. The dissertation is devoted to desing intraocular correction of aphakia, improving surgical technique of extracapsular cataract extraction. The dissertation has given the results of the experimental analysis of 50 enucleated human eyes and 344 clinical researches on patients' eyes after the implantation of different IOL models. The purpose of the research is the increasing efficiency of surgical treatment of cataract due to using of a new model IOL for intracapsular fixation. It has been determined that the three-pieces model of 10.5 mm IOL occupies stable position in a capsule bag and it doesn't change its shape. It has been shown that the approximation of the IOL diameter to the diameter of the capsular bag gives the possibility to reduce the quantity of intraoperating and postoperating complications, such as the decentration, uveitis, a secondary cataract. This approach makes it possible to encrease the recovery dynamics of keenness of sight during the 1st post-operation month. The worked out surgical technology and equipment allow to implantate without traumas the three-pieces IOL into capsular bag. The efficiency of reabilitation of the patients with cataract comprises to 93 % of all the cases. Key-words: extracapsular cataract extraction, intracapsular model of artificial lens, three-pieces model of intraocular lens, capsular bag.

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