Vol 5, No 2 (2010)

Articles
VISION PROTECTION IN CHILDREN IN THE REPUBLIC OF KARELIA
Paramei O.V., Tsitovich Z.G., Maximova N.V., Zvir V.G.
Abstract
The structure of pediatric ophthalmologic service of the Republic of Karelia, diagnostic and medical opportunities in rendering specialized ophthalmologic aid to the children is reflected in the article. The authors compared the essential medical-statistical ophthalmologic data in the Republic of Karelia and in the Russian Federation. Measures on the improvement of ophthalmologic pediatric aid to the children population of the Republic were outlined.
Russian Pediatric Ophthalmology. 2010;5(2):4-6
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ORGANIZATIONAL AND DIAGNOSTIC TECHNOLOGIES OF THE EARLY DETECTION OF RETINOPATHY OF PREMATURITY IN PERINATAL SERVICE OF THE KHABAROVSK TERRITORY
Stupak V.S.
Abstract
The article presents the organizational and diagnostic opportunities of the retinopathy early detection and treatment under the conditions of the Territory Perinatal Center. The essential risk factors of the visual analyzers pathology including the retinopathy risk factors were emphasized. The basic trends for prevention of this pathology development in children of the early age in the period of active introduction of perinatal technologies in the Territory were suggested.
Russian Pediatric Ophthalmology. 2010;5(2):6-9
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OPTICAL COHERENT TOMOGRAPHY AFTER LASER THERMOKERATOPLASTY IN HYPEROPIC ANISOMETROPIA IN CHILDREN
Sidorenko E.E., Markova E.Y.
Abstract
The authors proved that laser thermokeratoplasty method with help of laser device OKO-1 with wavelength 2.12 ?m is safe, low-traumatic; the angle of anterior chamber remains intact. This method can be applied to eliminate anisometropia caused by hyperopia.
Russian Pediatric Ophthalmology. 2010;5(2):10-11
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INFLUENCE OF OPEN ARTERIAL DUCT ON RETINOPATHY OF PREMATURITY DEVELOPMENT IN CHILDREN
Nikolayeva G.V., Mileva O.I., Babak O.A.
Abstract
We examined 165 premature infants, 100 of them developed retinopathy of prematurity (RP). Open arterial duct (OAD) without registered disturbances of central and regional hemodynamics was detected in 59 infants. In 12 cases according to echocardiography data a hemodynamically significant functioning arterial duct (HSFAD) was determined. It was established that RP development is mostly related to the lower mass of a body and gestation age of infants for the moment of birth. Disturbances of the central and organ hemodynamics accompanied by the shift of the blood gas indices contribute to RP development. OAD without registered disturbances of central and regional hemodynamics has no influence on the incidence of RP development. HSFAD is accompanied by the high incidence of severe RP forms development. Premature infants with HSFAD belong to the high risk group of RP development requiring special attention of ophthalmologists.
Russian Pediatric Ophthalmology. 2010;5(2):11-13
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OBJECTIVE INVESTIGATION OF RELATIVE ACCOMMODATION RESERVES AND STABILITY
Tarutta E.P., Filinova O.B., Kvaratskhelia N.G., Toloraya R.R.
Abstract
Prognostic and pathogenic role of accommodation disturbances in myopia progressing at the present moment gives no rise to doubts. Disturbances of accommodation are diagnostic feature of myopia progressing. In recent years methods of accommodation objective study take on special significance. We examined 18 children (36 eyes) at the age from 7 to 11 years with the acquired mild myopia. The patients underwent examination of the relative accommodation reserves and stability with help of binocular refkeratometer of the "open field" Grand Seiko WR-5100K according to the method developed by the authors. The objective investigations of accommodation detected its various disturbances in all the examined children: decrease of the static accommodative response, reserves and stability of accommodation. The indices of subjectively determined reserves of relative accommodation in the majority of cases proved to be overstated in comparison with the objective due to the reading under the condition of monocular or decreased binocular accommodative response.
Russian Pediatric Ophthalmology. 2010;5(2):14-16
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EFFICIENCY OF CHRONIC OVERTENSION OF ACCOMMODATION THERAPY IN CHILDREN
Vorontsova T.N., Brzhessky V.V., Efimova E.L., Prusinskaya S.M., Alekhina M.S., Ershova R.V., Zayani Nabil -.
Abstract
The authors evaluated the efficiency of Irifrin 10% and Tropicamid 1% in treatment of children with chronic overtension of accommodation. We examined 60 children (120 eyes) with chronic overtension of accommodation. All patients were divided into 2 groups. In the 1st group (30 children, 60 eyes) daily single instillations of Irifrin 10% solution were applied during 14 days; in the 2nd group (30 children, 60 eyes) Tropicamid 1% solution during the same period. The efficiency of treatment was evaluated according to the dynamics of the essential accommodation parameters and asthenopic events before and after the above medications therapy course. Efficiency of Irifrin 10% in treatment of children with chronic overtension of accommodation was established according to the therapy results. The clinical follow-up data correlate with the functional methods of accommodation study.
Russian Pediatric Ophthalmology. 2010;5(2):17-19
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CHANGE OF CORNEAL ENOTHELIUM CONDITION AFTER LASER THERMOKERATOPLASTY
Markova E.Y., Sidorenko E.E.
Abstract
Laser thermokeratoplasty performed with help of OKO-1 laser with wavelength 2.12 is a highly effective and safe method for hyperopic anisometropia removal in children. Endothelial cells loss is insignificant that is very important in infant in the early years of life.
Russian Pediatric Ophthalmology. 2010;5(2):20-21
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USE OF VARIOUS FLAPS IN REMOVAL OF CONGENITAL AND ACQUIRED EYELIDS DEFECTS IN CHILDREN
Grishchenko S.V., Filatova I.A., Vissarionov V.A., Romanova I.A., Malitskaya O.A.
Abstract
In the article we analyzed efficiency of various methods of surgical rehabilitation of children with congenital and acquired defects of the eyelids. The clinical group consisted of 65 patients at the age from 1 to 18 with congenital and acquired defects of the eyelids that underwent totally 101 surgical interventions. All children were divided into 3 groups depending on the method of compensation of the eyelids and periorbital tissues deficiency. Into the 1st group 10 patients with facial clefts and pronounced deformation of the eyelids were included; they were operated with use of modified wide bucco-zygomatic skin graft unilaterally or bilaterally. The 2nd group made 17 children with coloboma of the eyelids or extensive scarry deformation of the eyelids and periorbital area with soft tissues deficiency that was replaced by rotation flap from the forehead. Into the 3rd group were united 38 children that had scarry deformation with local skin deficiency on one or both eyelids, or ectropion eliminated by autotransplantation of the free skin flap taken from the interior surface of the auricle. In all three groups clinical and CT-signatures were described in details as well as the surgical technique. We managed to obtain good stable results in all cases in long-term period. Thanks to the timely performed and efficient complex treatment maximal aesthetic rehabilitation of the children with congenital oblique facial clefts was achieved to the age of 14-16, in cases of the acquired deformations of the eyelids and tissues of periorbital area - during 1-1.5 years from the moment of patient's apply to the clinic. Differentiated approach to application of wide rotation bucco-zygomatic and frontal flaps and techniques of free skin and mucous tunic auto-grafting with simultaneous strengthening of the supporting palpebral structures allow to significantly extend the opportunities of reconstructive surgery in pediatric practice, increase the efficiency of treatment and obtain early medical and social rehabilitation of the patients with congenital and acquired deformations and defects of the eyelids.
Russian Pediatric Ophthalmology. 2010;5(2):21-27
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INFLUENCE OF THE COMPLEX TREATMENT ON VISUAL FUNCTIONS IN PATIENTS WITH ALTERNATING CONCOMITANT SQUINT IN CHILDREN
Sidorenko E.I., Alfara Y.A.
Abstract
Influence of the complex treatment on visual functions in 320 patients with concomitant alternating squint was studied. In the control group (200 patients) the conventional treatment was applied, in the main group (120 patients) in addition to conventional treatment patients underwent infrasonic pneumomassage, infrasonic phonophoresis and color stimulation. The same treatment was performed in both eyes. It was proved that in use of infrasonic pneumomassage, infrasonic phonophoresis and color stimulation visual acuity data showed improvement in the right and left eye more than two times.
Russian Pediatric Ophthalmology. 2010;5(2):27-28
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COMPLEX SIMULTANEOUS METHOD OF SECONDARY SQUINT AND PARTIAL ATROPHY OF THE OPTIC NERVE TREATMENT IN CHILDREN
Makarov V.K.
Abstract
Various methods of treatment for secondary squint with partial atrophy of the optic nerve (PAON) were analyzed in 183 patients at the age from 3 to 12. In the main group (82 children) the complex method of treatment was applied, in two control groups (44 and 57 children) patients were treated according to classical methods of the secondary squint treatment. The patients of the main group underwent a simultaneous surgical correction of squint and POAN irrigation therapy into the Tenon's space with electrostimulation. Patients of the control group underwent delayed POAN treatment after surgical treatment of squint. It was established that maximal effect was obtained in the main group with use of a new complex method of treatment including simultaneous surgical correction of deviation and conduction of irrigation POAN therapy.
Russian Pediatric Ophthalmology. 2010;5(2):28-30
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INDICES OF TEAR PRODUCTION IN HEALTHY CHILDREN AND IN CHILDREN WITH TUBULAR-INTERSTITIAL LESIONS OF KIDNEYS
Chocheva K.I., Konovalova N.A., Lebedeva K.A.
Abstract
General tear production, stability of pericorneal tear film, complaints and clinical symptoms in 60 children with tubular-interstitial nephritis and 32 healthy children at the age from 8 to 17 were studied. Schirmer's test indices in healthy children are analogous to the same in the adult patients and the condition of the tear film is more stable. It is proved that in children with tubular-interstitial nephritis all tests data characterizing the condition of the tear film are reliably lower than the analogous indices in healthy children.
Russian Pediatric Ophthalmology. 2010;5(2):31-33
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STUDY OF THE RADIOPHARMACEUTICALS DISTRIBUTION INTENSIVENESS UNDER INFLUENCE OF INFRASOUND IN THE EXTERIOR TUNICS AND INTERIOR OCULAR STRUCTURES IN POSTERIOR (RETROBULBAR) AND ANTERIOR (NON-INJECTION) METHODS OF REMEDIES ADMINISTRATION
Filatov V.V., Sidorenko E.I., Filatova N.V.
Abstract
The article presents the data on the comparative study of efficiency of medications penetration and accumulation in the eye under the effect of a new method of infrasonic phonophoresis in retrobulbar and anterior non-injection way of radiopharmaceuticals administration with the following infrasonic impact on the eye during 10 minutes with frequency 4 Hz, power 173 dB in the live pressure mode of operation. The study was performed in 40 chinchilla rabbits (80 eyes). The obtained data is an evidence that under the impact of infrasound a significant accumulation of radiopharmaceuticals occur inside the eye in the anterior non-injection method of bringing medications to the eye (application of medication on cotton wool in conjunctival cavity of the eye), and in posterior way (retrobulbar injection) as well with their following distribution in the tissues of the eyeball. Infrasound improves pharmacokinetics in the eye contributing to the preservation of medicinal depot in the orbit and the eyeball, increasing the level of medication both in vascular and avascular structures of the eye.
Russian Pediatric Ophthalmology. 2010;5(2):34-37
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PATHOMORPHISM IN MEIBOMIAN GLANDS UNDER PHYSIOTHERAPEUTIC FACTOR AND SOME MEDICATIONS IMPACT UNDER THE EXPERIMENTAL HYPOOESTROGENIA CONDITIONS
Obrubov S.A., Stavitskaya G.V., Dreval A.A., Obrubov A.S., Obrubova G.A., Boginskaya O.A.
Abstract
Pathomorphism in meibomian glands in physiotherapeutic factor and some medications impact under experimental hypooestrogenia conditions was studied. It was established that morphologic changes of meibomian glands have unidirectional character. The estrogenic medication Divigel is of most influence on the increase of the secretory follicles quantity and increase of the Malpighian layer of secretory follicles epithelium. The application of suis-organ preparation of estrogenic action (ovarium compositum) and impact by the pulse low-frequency electromagnetic field on the area of the animal's head has the most influence on the changes of microcirculatory bloodstream.
Russian Pediatric Ophthalmology. 2010;5(2):38-41
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ON THE PATHOGENESIS OF DIABETIC RETINOPATHY
Repkina M.Y.
Abstract
Russian Pediatric Ophthalmology. 2010;5(2):42-46
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CONGENITAL CORNEAL OPACITIES
Katargina L.A., Pleskova A.V., Khvatova A.V.
Abstract
The article is dedicated to the clinical picture and diagnostics as well as the principles of management of pediatric patients with corneal opacity of various genesis including congenital malformations of the anterior section of the eye (posterior embryotoxon, Axenfeld anomaly, Rieger anomaly, Peters anomaly, corneal staphyloma, sclerocornea). Clinical picture of the congenital dystrophy and benign tumors of the cornea and limbus as well as the corneal opacities in congenital glaucoma, metabolic lesions and intrauterine infection is presented.
Russian Pediatric Ophthalmology. 2010;5(2):46-50
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ASSOCIATED VISCERAL AND OCULAR TOXOCARIASIS IN ELEVEN-YEAR-OLD GIRL
Krichevskaya G.I., Denisova E.V., Gvozdyuk N.A.
Abstract
A case of ophthalmic toxocariasis in a child with visceral form in 4.5 years after arresting of the active process is described. The eye disease was detected in the stage of the complications development (retinal detachment). Toxocariasis etiology was established on the basis of anamnestic (geophagy, visceral toxocariasis), clinical (granulomatous chorioretinitis) and laboratory findings (presence of antibodies to Toxocara in blood serum and subretinal fluid in dilution 1:400). The children with visceral form of toxocariasis need to be followed-up by ophthalmologist on a regular basis for early detection of possible eye disease.
Russian Pediatric Ophthalmology. 2010;5(2):51-53
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E. I. Sidorenko (k 70-letiyu so dnya rozhdeniya)
- -.
Abstract
Russian Pediatric Ophthalmology. 2010;5(2):54-55
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Informatsiya
- -.
Abstract
Russian Pediatric Ophthalmology. 2010;5(2):55-55
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