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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">glazmag</journal-id><journal-title-group><journal-title xml:lang="ru">The EYE ГЛАЗ</journal-title><trans-title-group xml:lang="en"><trans-title>The EYE GLAZ</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2222-4408</issn><issn pub-type="epub">2686-8083</issn><publisher><publisher-name>Академия медицинской оптики и оптометрии</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33791/2222-4408-2025-3-210-216</article-id><article-id custom-type="elpub" pub-id-type="custom">glazmag-700</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>ОРИГИНАЛЬНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES</subject></subj-group></article-categories><title-group><article-title>Зависимость результатов фемтолазерного удаления лентикулы через малый разрез от степени исходной миопии</article-title><trans-title-group xml:lang="en"><trans-title>Association between the outcomes of ReLEx® SMILE and the degree of baseline myopia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2559-6261</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козлова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozlova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Козлова Алина Сергеевна, аспирант кафедры офтальмологии, врач-офтальмолог</p><p>620028, г. Екатеринбург, ул. Репина, д. 3</p><p>620014, г. Екатеринбург, ул. Вайнера, д. 15</p></bio><bio xml:lang="en"><p>Alina S. Kozlova, Postgraduate student, Department of Ophthalmology, Ophthalmologist</p><p>3, Repina Str., Ekaterinburg, 620028</p><p>15, Vaynera Str., Ekaterinburg, 620014</p></bio><email xlink:type="simple">alina.kozlova1804@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Коротких</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Korotkikh</surname><given-names>S. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Коротких Сергей Александрович, доктор медицинских наук, профессор, профессор кафедры офтальмологии, заведующий кафедрой офтальмологии, врач-офтальмолог</p><p>620028, г. Екатеринбург, ул. Репина, д. 3</p><p>620014, г. Екатеринбург, ул. Вайнера, д. 15</p></bio><bio xml:lang="en"><p>Sergey A. Korotkikh, Dr. Sci. (Med), Professor and Head, Department of Ophthalmology, Ophthalmologist</p><p>3, Repina Str., Ekaterinburg, 620028</p><p>15, Vaynera Str., Ekaterinburg, 620014</p></bio><email xlink:type="simple">secretar@mcprof.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-7281-5663</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильева</surname><given-names>С. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasilieva</surname><given-names>S. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Васильева София Юрьевна, студентка 6-го курса лечебно-профилактического факультета</p><p>620028, г. Екатеринбург, ул. Репина, д. 3</p></bio><bio xml:lang="en"><p>Sofia Yu. Vasilieva, 6th-year medical student, Faculty of General Medicine</p><p>3, Repina Str., Ekaterinburg, 620028</p></bio><email xlink:type="simple">vslvsonyaa@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России;&#13;
ООО «Больница «Медицинская клиника «Профессорская Плюс»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ural State Medical University;&#13;
Professorskaya Plus Eye Surgery Clinic</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Уральский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ural State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2025</year></pub-date><volume>27</volume><issue>3</issue><fpage>210</fpage><lpage>216</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Академия медицинской оптики и оптометрии, 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Академия медицинской оптики и оптометрии</copyright-holder><copyright-holder xml:lang="en">Академия медицинской оптики и оптометрии</copyright-holder><license xlink:href="https://www.theeyeglaz.com/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.theeyeglaz.com/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.theeyeglaz.com/jour/article/view/700">https://www.theeyeglaz.com/jour/article/view/700</self-uri><abstract><p>Введение. Миопия – наиболее распространенное заболевание глаз. Одним из методов коррекции миопии является процедура ReLEx® SMILE (small incision lenticule extraction). Влияние степени миопии на результаты операции остается актуальным вопросом в связи с наличием противоречивых данных в исследованиях, посвященных данной проблеме. Цель: оценить зависимость результатов операции ReLEx® SMILE от степени исходной миопии. Материалы и методы. В данном проспективном исследовании представлены результаты лазерной коррекции методом ReLEx® SMILE у 78 пациентов (156 глаз) от 18 до 35 лет. В зависимости от степени миопии пациенты были разделены на 3 группы (I группа – с миопией 1-й степени, 31 случай; II – с миопией 2-й степени, 87 случаев; III – с миопией 3-й степени, 38 случаев). Период наблюдения составил 6 месяцев. Результаты. Острота зрения без коррекции 0,9–1,0 была получена в 100 % случаев в группе I, в 93 % случаев в группе II, в 82 % случаев в группе III и имела достоверно значимые отличия между группами (p &lt; 0,017). При анализе показателя эффективности не было выявлено достоверных отличий (p = 0,78) между группами: в I и II группах коэффициент эффективности равен 100 %, в III группе эффективность составила 97,1 %. Коэффициент безопасности в I и III группах был равен 100 %, во II группе – 98 %, достоверной разницы выявлено не было (p = 0,458). Регресс операционного эффекта через 6 месяцев после операции был по одному случаю у пациентов в группах I и III, а во II группе случаев ре­ гресса не было. Выводы. Коррекция зрения методом ReLEx® SMILE обеспечивает предсказуемый и стабильный результат миопии и миопического астигматизма любой степени. Отличий в частоте возникновения осложнений в зависимости от степени миопии выявлено не было.</p></abstract><trans-abstract xml:lang="en"><p>Background. Myopia is the most common refractive disorder of the eye globally. One of the methods for surgical correction of myopia is ReLEx® SMILE (Small Incision Lenticule Extraction). The impact of baseline myopia severity on postoperative outcomes remains debated due to inconsistent literature findings. Purpose: To assess the association between the outcomes of ReLEx® SMILE and baseline myopia severity. Materials and methods. This prospective study included 78 patients (156 eyes) aged 18 to 35 years who underwent refractive correction using the ReLEx® SMILE procedure. Patients were stratified into three groups by myopia severity: Group I – low myopia (n = 31 eyes), Group II – moderate myopia (n = 87 eyes), Group III – high myopia (n = 38 eyes). The follow-up period was six months. Results. Uncorrected visual acuity (UCVA) of 0.9–1.0 was achieved in 100% (Group I), 93% (Group II), and 82% (Group III) of eyes, with statistically significant differences between the groups (p &lt; 0.017). No statistically significant differences in the efficacy index were observed (p = 0.78): efficacy was 100% in Groups I and II, and 97.1% in Group III. The safety index was 100% in Groups I and III and 98% in Group II, with no statistically significant difference (p = 0.458). Refractive regression occurred in one case each in Groups I and III, while no cases of regression were observed in Group II. Conclusion. Refractive correction using the ReLEx® SMILE technique provides predictable and stable correction for all degrees of myopia and myopic astigmatism, with no significant differences in complication rates across severity groups.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>рефракционная хирургия</kwd><kwd>ReLEx® SMILE</kwd><kwd>степень миопии</kwd><kwd>осложнения лазерной коррекции миопии</kwd><kwd>регресс результата операции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>refractive surgery</kwd><kwd>ReLEx® SMILE</kwd><kwd>myopia severity</kwd><kwd>laser-assisted correction complications</kwd><kwd>postoperative regression</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">Agyekum S, Chan PP, Zhang Y, et al. Cost-effectiveness analysis of myopia management: A systematic review. 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