Vol 9, No 1 (2014)

Articles
SURGICAL ASPECTS OF ULTRASOUND TRABECULECTOMY FOR THE TREATMENT OF CONGENITAL GLAUCOMA IN CHILDREN
Arestov D.O.
Abstract
We have developed and patented the ultrasound modification of trabeculectomy adapted to specific features of eyes in children with congenital glaucoma. The method is based on the application of the UZKh-F-9102-OF MEDEL apparatus for ultrasound microsurgery (Russia) operated at a frequency of 44 kHz. Taken together, unique characteristics of this instrument , such as the light weight, virtually bloodless incision with simultaneous non-thermal coagulation of the wound edges, antibacterial and antiproliferative action, make it possible to ensure the favourable conditions for the formation of the permanent filtering bleb during the postoperative period. Peculiarities of surgical strategy for ultrasound trabeculectomy are described and substantiated based on the experience gained during 37 surgical interventions in children with congenital glaucoma.
Russian Pediatric Ophthalmology. 2014;9(1):5-11
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THE RESULTS OF A COMPREHENSIVE APPROACH TO DIFFERENTIAL CLINICAL AND ETIOLOGICAL DIAGNOSTICS OF CENTRAL RETINAL STARGARDT’S DYSTROPHY IN RUSSIAN FEDERATION
Borzenok S.A., Khlebnikova O.V., Shurygina M.F., Ogorodnikova S.N., Solomin V.A.
Abstract
The present study involved 48 patients at the age varying from 7 to 52 years referred to our clinic with the diagnosis of central retinal Stargardt’s dystrophy. The combined application of clinical methods and functional tests including visiometry, dynamic and static perimetry, assessment of colourperception, electroretinography, optical coherence tomography, fundus photography, biomicroscopy, direct and indirect ophthalmoscopy, fluorescence angiography, autofluorescence imaging, and molecular genetic studies made possible clinical verification of central retinal Stargardt’s dystrophy that gave evidence of the high percentage of errors in the primary diagnosis. It is concluded that the proposed integrated approach permits to develop the criteria for early differential diagnostics of central retinal Stargardt’s dystrophy.
Russian Pediatric Ophthalmology. 2014;9(1):12-16
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UVEITIS IN BEHCET'S DISEASE IN CHILDREN. ANALYSIS OF LITERATURE AND DESCRIPTION OF CASES
Katargina L.A., Denisova E.V., Starikova A.V., Gvozdyuk N.A., Lyubimova N.V.
Abstract
The study of peculiarities of the course and results of the treatment of uveitis in Behcet's disease in 4 children and the analysis of literature were conducted. Rare manifestation of Behcet's disease in childhood and differences of clinical implications in children and adults were observed, causing difficulties in making timely diagnosis. More severe course of uveitis in Behcet's disease was observed in children than in adults, resulting in the rapid development of wide range of complications in the absence of adequate therapy. The necessity of early and active anti-inflammatory treatment of uveitis in Behcet's disease was proved; the efficacy of TNF-α inhibitors in refractory uveitis was established. It was demonstrated that early diagnosis and effective treatment can prevent serious complications and preserve good vision in majority of children.
Russian Pediatric Ophthalmology. 2014;9(1):17-21
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THE EVALUATION OF MORPHOMETRIC CHARACTERISTICS OF THE OPTIC NERVE DISK AT DIFFERENT STAGES OF CONGENITAL GLAUCOMA IN CHILDREN
Katargina L.A., Tarasenkov A.O., Mazanova E.V., Khvatova A.V.
Abstract
Results of the analysis of morphometric characteristics of the optic nerve disk at different stages of congenital glaucoma in children are presented. 49 patients (57 eyes) at the age varying from 3 to 17 years were examined with the use of Heidelberg retinal tomograph (HRT3). Obtained data allowed to evaluate the state of the visual system at each stage of congenital glaucoma and thereby to predict functional outcome of this condition and organize its monitoring.
Russian Pediatric Ophthalmology. 2014;9(1):22-26
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PECULIARITIES OF SURGICAL TECHNIQUE IN SECONDARY IOL IMPLANTATION IN CHILDREN WITH CONGENITAL CATARACTS
Kruglova T.B., Egiyan N.S., Kononov L.B.
Abstract
This research was designed to analyze results of the secondary implantation of intraocular lenses into the posterior chamber of the eye in 42 children (56 eyes) following the early surgical intervention (between 2 and 10 months of life) for the treatment of congenital cataract. It was proved that in the majority of cases (76.8%) reconstructive procedures involving cutting of the irido-capsular adhesion are necessary during the implantation in children with aphakia. However, the intracapsular implantation of the intraocular lenses was possible only in 23.3% of children. In majority of patients intraocular lenses were fixed in the irido-ciliary groove.
Russian Pediatric Ophthalmology. 2014;9(1):27-29
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ULTRASOUND BIOMICROSCOPY IN THE DIAGNOSTICS OF CONGENITAL CORNEAL OPACITIES IN CHILDREN
Pleskova A.V., Katargina L.A., Mazanova E.V.
Abstract
The objective of this study was to estimate the diagnostic potential of the highly informative and objective method for visualizing and obtaining images of the structures of the anterior chamber of the eye with the use of ultrasound biomicroscopy (UBM) for the detection of morphological changes in eyes of 47 children with various forms of congenital corneal opacities. Proposed method allowed to examine children of different ages even under anesthesia. Results of the study provided the objective UBM criteria for anatomical changes in eyes associated with congenital corneal opacities and thereby made it possible to determine the extent of the necessary surgical intervention, estimate the degree of risk of the development of glaucoma and choose adequate postoperative therapy.
Russian Pediatric Ophthalmology. 2014;9(1):30-32
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STATIC STREAK SKIASCOPY (RETINOSCOPY) UNDER NATURAL CONDITIONS AND IN CYCLOPLEGIA
Proskurina O.V.
Abstract
This study was designed to estimate the accuracy of results obtained by static streak skiascopy. It included 58 children at the age from 5 to 18 years with refraction studied under natural conditions and 79 children at the age varying from 1 to 18 years with refraction evaluated within 3 days after atropinization. The results of static streak skiascopy were compared with the data obtained by skiascopy performed using a plane mirror or by a subjective study and autorefractometry. It was shown that the results of the measurement of sphere equivalent refraction under natural conditions and by static streak skiascopy were comparable with those obtained by other methods. Static streak skiascopy under natural conditions was shown to overestimate the degree of astigmatism by 0.55±0.6 dptr compared with subjective correction, the difference along the axis amounted to 3.23±0.59°. Static streak skiascopy under natural conditions and autorefractometry yielded comparable results. In the patients with cycloplegia static streak skiascopy revealed a 0.41±0.5 dptr higher degree of astigmatism than skiascopy with a plane mirror, the difference along the axis was 10-35°. This data was comparable with the results of subjective correction and autorefractometry. It is concluded that static streak skiascopy should be used either instead of skiascopy with a plane mirror or in the cases when autorefractometry is impracticable.
Russian Pediatric Ophthalmology. 2014;9(1):33-36
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THERAPEUTIC EFFICIENCY OF MEDICATION «VITRUM®VISION FORTE» IN MYOPIA IN TEENAGERS
Sajdasheva E.I., Dautova Z.A., Mitrofanova N.V., Lyola D.V.
Abstract
This paper is designed to report the results of the application of Vitrum Vision Forte (Unipharm Inv., USA) for the treatment of 28 children (56 eyes) at the age from 12 to18 years with mild (n = 15) and moderate (n = 13) myopia (groups 1 and 2 respectively). The treatment enhanced non-corrected distant visual acuity in the patients of group 1 by 17.2% on the average compared with its initial level. Simultaneously, accommodation capacity improved. The absolute accommodation amplitude increased by 2.35 dptr (23.8%) in group 1 and by 1.5 dptr (18.0%) in group 2. The relative accommodation amplitude increased by 1 dptr (15.0%) in children with mild myopia and by 0.9 dptr (13%) in patients with moderate myopia. In both groups results of electrophysiological studies significantly improved. It is concluded that Vitrum Vision Forte can be recommended for a wide application for the treatment of myopia of different degrees in teenagers.
Russian Pediatric Ophthalmology. 2014;9(1):37-41
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VARIATIONS OF THE ACCOMMODATION PARAMETERS AND HEMODYNAMIC CHARACTERISTICS IN THE BLOOD VESSELS OF THE EYE DURING THE INSTRUMENTAL TREATMENT OF MYOPIA
Tarutta E.P., Kiseleva T.N., Tarasova N.A., Epishina M.V.
Abstract
The present study enrolled 30 children at the age from 8 to 18 (mean 11.03±0.41) years suffering from myopia of different degree. All the patients were given the functional treatment including trans-scleral laser stimulation of the ciliary body with the use of the MAKDEL 09 apparatus, opticoreflective training on the Viziotronikophthalmomyorelaxator, and magnetophoresis of a 4% taufon solution using the Polyus-3 apparatus. Accommodation was evaluated by both subjective (reserve of frelative and amplitude of absolute accommodation) and objective (accommodation response, habitual accommodation tension, open-fieldhabitual accommodation tension, resting accommodation tension) methods.Hemodynamic characteristics in the blood vessels of the eye were obtained by the duplex scanning technique in the color Doppler mapping and pulsed dopplerography regimes. The proposed treatment modality resulted in the enhancement of visual acuity with habitual subcorrection, accommodation reserve and amplitude. The objective accommodation response increased in a smaller degree while the resting accommodation tension decreased. Maximum systolic blood flow velocity in the posterior ciliary arteries and ophthalmic artery significantly increased to the same extent as the end diastolic velocity in the central retinal artery and thecentral retinal vein. Simultaneously, the resistance index in the posterior ciliary arteries decreased in comparison with its initial value which may suggest the improvement of regional circulation in the eyes.
Russian Pediatric Ophthalmology. 2014;9(1):42-45
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A NEW WAY OF DIAGNOSTIC AND TREATMENT EFFECTIVENESS EVALUATION OF THE OPTICAL NYSTAGMUS USING MICROPERIMETRY
Tarutta E.P., Chernysheva S.G., Gubkina G.L., Kantarzhi E.P., Apaev A.V., Kiseleva O.A.
Abstract
The results obtained with the use of a new way of diagnostic and treatment effectiveness evaluation of the optical nystagmus are presented. The proposed method makes it possible to monitor the clinical conditions of the patients with optical nystagmus, to choose the optimal treatment modalities and estimate their effectiveness.
Russian Pediatric Ophthalmology. 2014;9(1):46-48
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CONGENITAL STENOSIS OF NASOLACRIMAL DUCT
Valyavskaya M.E., Ovchinnikova A.V., Markova E.Y.
Abstract
Features of management: children with common pathology of early childhood — a congenital stenosis of nasolacrimal duct (NLD). Importance of timely correction is shown — beginning from massage of a tear-bag and finishing difficult reconstructive interventions. It is shown that the modern technology of a temporary intubation of NLD provides strong recovery of a physiological drainage system for tears and minimization of possible complications.
Russian Pediatric Ophthalmology. 2014;9(1):49-52
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POSTERIOR LENTICONUS: CLINIC, FEATURES OF SURGICAL TACTICS, FUNCTIONAL RESULTS OF EXPEDITIOUS TREATMENT
Zubareva L.N., Ovchinnikova A.V.
Abstract
Features of tactics of maintaining children with a rare ophthalmopathology - posterior lenticonus (PL) are presented. Clinical picture PL depends on a stage of its development. Options of a clinical course of this pathology are shown. The cataract surgery in the presence of PL has certain difficulties. Features of surgical tactics are considered. It is revealed that functional results at children with an artiphakia, operated concerning PL, above, than at children with an aphakia. Need of careful preoperative inspection that allows to define the correct tactics of carrying out operation, to reduce risk of operational complications, to provide the most optimum intrakapsul-yarny fixing of IOL is shown.
Russian Pediatric Ophthalmology. 2014;9(1):53-55
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THE BASIC STRATEGY OF DEVELOPMENT AN ANIMAL MODEL OF RETINOPATHY OF PREMATURITY
Katargina L.A., Osipova N.A.
Abstract
This review presents the foundation of the development of an animal model of retinopathy of prematurity and a description of the existing animal models. The review also discusses the importance of animal models for the study of the pathogenesis of retinopathy of prematurity and the search for new approaches to the treatment of this disease.
Russian Pediatric Ophthalmology. 2014;9(1):56-60
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PROTECTION OF CHILDREN’S HEALTH IN THE REPUBLIC OF SAKHA (YAKUTIA)
Romenskaya I.V., Paramei O.V., Maksimova N.V.
Abstract
This paper describes the structure of the pediatric ophthalmological service in the Republic of Sakha (Yakutia) with special reference to the possibilities of diagnostics and treatment of eye pathology in children and to the opportunities for the provision of specialized ophthalmological care to the patients of this age group. Main medical and statistical characteristics of pediatric ophthalmological services in Yakutia are compared with those in other regions of the Russian Federation. The measures for the improvement of the quality of ophthalmological care for children residing at this Far East territory are discussed.
Russian Pediatric Ophthalmology. 2014;9(1):61-63
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PRION DISEASE. OPHTHALMIC SYMPTOMS (A LECTURE)
Shnayder N.A., Guseva M.R.
Abstract
The prion diseases are a large group of related neurodegenerative conditions, which affect both animals and people. They include Creutzfeldt-Jakob disease and Gerstmann-Straussler-Scheinker, fatal familial insomnia, kuru in humans; bovine spongiform encephalopathy, or mad cow disease, in cattle; and scrapie in sheep etc. All these diseases have long incubation periods, but they are typically rapidly progressive once clinical symptoms begin. All prion diseases have common early manifested ophthalmic symptoms. All prion diseases are fatal, with currently no effective form of treatment. However, increased understanding of their pathogenesis has recently led to the promise of effective prevalence and therapeutic interventions in the near future.
Russian Pediatric Ophthalmology. 2014;9(1):64-75
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FIRST INTER-REGIONAL SCIENTIFIC AND PRACTICAL CONFERENCE «PEDIATRIC OPHTHALMOLOGY IN THE NORTHWESTERN REGION». 19-20 APRIL 2013, SANKT-PETERSBURG
Fomina N.V.
Abstract
Russian Pediatric Ophthalmology. 2014;9(1):76-77
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THE 39 th CONGRESS OF EUROPEAN PEDIATRIC OPHTHALMOLOGICAL SOCIETY (EPOS)
Fomina N.V.
Abstract
Russian Pediatric Ophthalmology. 2014;9(1):78-79
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Konferentsiya «Aktual'nye voprosy detskoy oftal'mologii 2014»
- -.
Abstract
Russian Pediatric Ophthalmology. 2014;9(1):80-80
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