Лечение отслойки сетчатки у ВИЧ-инфицированных больных с цитомегаловирусным ретинитом abstraCtHIV infection -is a socially significant problem for many countries, as the infected die in an average of 10-11 years due to the immunodeficiency virus. Up to 20% of patients with AIDS lose their sight because of cytomegalovirus retinitis (CMV retinitis), which occurs in 70% of HIV-infected people. In some patients with HIV infection blindness occurs because of acute retinal necrosis of CMV etiology. The algorithm of CMV retinitis treatment in HIV-infected patients is described in modern manuals (ganciclovir, valganciclovir, foscarnet and others on the background of antiretroviral therapy), but the tactics of treatment of retinal separation in these patients is not clearly defined. It may be "wait and see", providing conservative treatment with antiviral drugs, and the active tacticsvitreoretinal surgery. In this article the authors present their personal clinical observations of three HIV-infected patients with CMV retinitis at the age of 8 to 36 years with a detailed analysis of the clinical data and the results of the laboratory tests. In particular, ophthalmology in russia. 2017;14(1):84-87

Aim: to analyze the data obtained from using of intraocular lenses — the hydrophobic IOL Citrin and a hydrophilic IOL Aquamarine, produced by Russian company — NanOptic. Materials and methods. A total of 56 IOLs, produced by NanOptic (38 hydrophobic IOLs Citrine and 18 hydrophilic IOLs Aquamarine) were implanted. The observation period was from 3 to 12 months. The indication for phacoemulsification was age cataract. The age of the patients was 54–85. Patients before the operation were conducted basic studies. The mean uncorrected visual acuity before the operation was (UCVA) 0.121 ± 0.120 (0.001–0.3), and the mean corrected visual acuity was (BCVA) 0.187 ± 0.140 (0.001–0.6). All patients underwent standard phacoemulsification. Results. The early postoperative period was without any complications. In the postoperative period the mean UCVA in patients with “Citrine” and “Aquamarine” was 0.90 ± 0.10 (0.7–1.0) and 0.96 ± 0.07 (0.8–1.0) accordingly, and the mean BCVA was 0.94 ± 0.07 (0.8–1.0) and 0.99 ± 0.02 (0.9–1.0) accordingly. In all cases, the refraction obtained was consistent with the prediction. The error in IOL calculation was minimal and permissible. There weren’t any case of secondary cataract in patients with hydrophobic IOLs, and 3 cases of lens posterior capsule fibrosis of 1 degree in patients with hydrophilic IOLs in 3–12 months observation. The position of IOL in capsule bag was stable. Conclusions. The results of implantation of new Russian-made IOLs on the given parameters appeared to be satisfactory, that allows to recommend them for implantation in cataract surgery.