[The impact of material and human resources on the availability of cataract treatment (simulation example)]. / Vliyanie material'nykh i kadrovykh resursov na dostupnost' lecheniya katarakty (primer modelirovaniya).

The World Health Organization recommends monitoring the trends and assessing the progress of ophthalmic care focused on the actual needs of people. To solve these problems, the authors of this paper have proposed and tested an analytical model, named «Cataract¼, which on the one hand can help evaluate the needs of the population in terms of cataract treatment, and on the other - assist with analysis of the available resources to meet these needs. The model can help identify the bottlenecks and predict the required resources, as well as assess the degree of satisfaction of the population's needs with the current and projected amount of medical care. This model allows analyzing, planning or predicting the resources of healthcare facilities needed for the treatment of cataracts while simultaneously assessing its impact in order to meet the medical needs of patients with cataracts.

[Regional ophthalmological cluster as a resource basis for the process and the procedure of specialist accreditation]. / Regional'nyi oftal'mologicheskii klaster kak osnova resursnogo obespecheniia protsessa i protsedury akkreditatsii vrachei.

Since 2016, phased introduction of specialist accreditation has been launched. Many issues like how training at regional accreditation centers (RACs) should be organized - for applicants applying for primary specialized accreditation as residents in ophthalmology (2018) or periodic accreditation as practicing ophthalmologists (2021) - are yet debatable. AIM: to provide organizational and educational resources for arranging accreditation of ophthalmologists at the background of improving the quality of medical care in a federal subject of the Russian Federation. MATERIAL AND METHODS: The study object was the process and the procedure of accreditation, the study subject - the system of specialist accreditation. METHODS: bibliographical, analytical, and expert. Methodological basis for tasks solving: mobilization of an independent organizational structure, that is, the regional ophthalmological scientific-educational cluster (ROSEC). RESULTS: Three complex problems have been defined that require solution. 1. Discrepancies between accreditation procedures depending on the type of accreditation. The absence of practical skills assessment within the periodical accreditation procedure and low availability of innovative simulation systems impede the achievement of the declared goals of accreditation. 2. The absence of a clear order and criteria for portfolio assessment as well as a legal format of its formation during non-interrupted medical education (NIME) demands active management. 3. There is still a lack of appropriate organizational, educational, material technical, and personnel support of the accreditation system. The proposed organizational and methodological approaches are aimed at solving issues of accreditation support, proper functioning of RACs, and improving the quality and regional availability of NIME. CONCLUSION: Systematic approach effectively solves the problem of resource support of accreditation. ROSEC should be regarded as the provision basis for complex of all stages of ophthalmologist accreditation and proper functioning of RACs. ROSEC involvement is highly advisable.

[Visual rehabilitation of patients with large post-traumatic defects of the anterior eye segment through iris-lens diaphragm implantation]. / Sistema zritel'noi reabilitatsii patsientov s obshirnymi defektami struktur perednego otrezka glaznogo iabloka na osnove implantatsii iridokhrustalikovoi diafragmy.

The diversity of methodological approaches and lack of pathogenetically reasonable tactics for patients with combined ocular injuries became the basis for the development and systematization of surgical rehabilitation stages of patients, in whom post-traumatic cataract is combined with post-traumatic aniridia and corneal scarring. AIM: to construct a visual rehabilitation approach to patients with post-traumatic defects of the anterior eye segment following optical-reconstructive surgery that involved implantation of an iris-lens diaphragm (ILD). MATERIAL AND METHODS: We have analyzed 80 reconstructive cases with ILD implantation in patients with post-traumatic aniridia and corneal damage. These patients constituted the first study group (Group 1). We have also investigated 58 eyes with residual ametropy and stable visual function 1 year after ILD implantation before and after conducting a laser keratorefractive surgery. These patients were assigned to the second study group (Group 2). RESULTS: Rehabilitation approach to patients after anterior segment injuries that has been proposed allows to achieve high clinical and functional results and reduce the risk of intra- and postoperative complications. CONCLUSION: The proposed approach to patients after optical-reconstructive surgery with iris-lens diaphragm implantation followed by keratorefractive surgery is an effective method of visual rehabilitation of anterior eye segment post-traumatic defects.

[The branches of academician S. N. Fyodorov eye microsurgery complex: experience and prospects].

The article is dedicated to the history of the creation of the branches of Eye Microsurgery Complex (EMC), the period of their establishment, and their present state. The article demonstrates the big part played by EMC in providing ophthalmologic aid in the country. The development of the therapeutic/diagnostic network around the branches makes high-quality medical aid available for the population, which is a part of national health project. The therapeutic/diagnostic base of the branches, their scientific and teaching work as well as high professionalism of the personnel make the branches leaders in the system of the organization of ophthalmological aid and rendering high-technological aid in regions.