Vol 9, No 3 (2014)


Medical rehabilitation of children with posttraumatic phthisis bulbi

Verigo E.N., Ramazanova K.A.


We analyzed 234 children with posttraumatic phthisis bulbiand revealed the pathogenetic mechanisms of this complication, which characterized by specific clinical picture in correspondence with various stages and forms of the process. We accepted the specific role of combined ultrasonic examination data, which gives the possibility to access in vivo deformed eye bulb parameters, the status of the ocular media, covers and orbital perfusion. Basing on the clinical and diagnostic examination’s results, we determinedan optimal monitoring tactics in patients with phthisis bulbiand possibilities of their rehabilitation using ocular prosthetics as well as indications for this procedure.
Russian Pediatric Ophthalmology. 2014;9(3):5-9
pages 5-9 views

Use of the medicine Alphagan®P in the treatment of paediatric glaucoma

Katargina L.A., Mazanova E.V.


The article presents the experience of one of the modern anti-hypertensive medicine, approved for use in children, Alphagan® P in various forms, stages of congenital and secondary glaucoma in children. Data obtained in this study allowed us to estimate the effectiveness of the drug as monotherapy and in combined appointment, a comparative analysis of the degree of IOP reduction at different stages and forms of paediatric glaucoma, including young children.
Russian Pediatric Ophthalmology. 2014;9(3):10-13
pages 10-13 views

Clinical and functional eye’s parameters in extremely low birth weight patients with retinopathy of prematurity

Kogoleva L.V.


The article presents the results of comprehensive ophthalmological study of 50premature children (100 eyes), gestational age less than 27 weeks.Follow-up observation (during 5-16 years after active retinopathy of prematurity) revealed a number of clinical, structural and functional features of regressive/cicatricial retinopathy of prematurity; this fact reflects the degree of incomplete retina formation and severity of retinopathy of prematurity. These features include the residual avascular areas and vascular anastomosis in the peripheral retina (80%), retinal vessels displacement and traction in the nasal side of the retina (20%). Furthermore, the analyses of the total electroretinogramshowed a reduction of the photoreceptors’ functional activity in comparison with themature infants.In 60% of children we observed the macula differentiation defects (according to the optical coherence tomography) and significantdepression of the central retina bioelectric activity (with preference of cone system).This fact can be thecauseof the vision loss. The presence of comorbidity and refractive errors (88.5%), including high myopia (30.4%), determine the necessity of thedifferentiated approach,forehanded and adequate treatment.The high risk of the late complications (23%) requires lifelong preventive medical examination and rehabilitation of these patients.
Russian Pediatric Ophthalmology. 2014;9(3):14-19
pages 14-19 views

Clinical features of endocrine ophthalmopathy in children

Saakyan S.V., Panteleeva O.G., Sirmays O.S.


This paper reports the frequency and prevalence of thyroid associated ophthalmopathy in children. 3031 patients with thyroid associated ophthalmopathy at the age from 3 to 78 years (mean - 44,2 ± 5,26), 0.8 % (24 people) of which were children at the age from 3 to 17 years. Complex conducted clinical and instrumental examination performed in accordance with EUGOGO. The children’s endocrinologist examination confirmed the diagnosis among children: often at diffuse toxic goiter - 19 people , autoimmune thyroiditis - 4 children , in one case - thyroid cancer. Unlike adult contingent, in no cases we observed severe cornea affection and IOP increasing. Active stage of thyroid associated ophthalmopathy was revealed in a quarter of children (6 patients). All patients with active stage thyroid associated ophthalmopathy were in puberty. In no cases we observed myogenic type of TAO and orbit apex syndrome. Children’s age mean 12,7 ± 3,28 years. Most often thyroid associated ophthalmopathy preceded by diffuse toxic goiter. The clinical symptoms of thyroid associated ophthalmopathy in children did not differ from adults. Clinical symptoms of thyroid associated ophthalmopathy did not differ among adults and children. In 11 from 12 children symptoms of the optic neuropathy were identified. In 17 children the mixed type of thyroid associated ophthalmopathy were diagnosed.
Russian Pediatric Ophthalmology. 2014;9(3):20-23
pages 20-23 views

Differential diagnosis of similar accommodative disorders

Proskurina O.V.


This paper was designed to present differential diagnosis criteriaofthetypical accommodative disorders in children: spasm of accommodation, habitual accommodative excess, paresis/paralysis of accommodation andaccommodation insufficiency. There is a detailanalysis of thedifferent physiological and pathological accommodation conditions.
Russian Pediatric Ophthalmology. 2014;9(3):25-27
pages 25-27 views

Abstracts of the conference «Advances in pediatric ophthalmology, 2014»

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Russian Pediatric Ophthalmology. 2014;9(3):28-64
pages 28-64 views

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