Relevance. There are several types of strabismus patterns, characterized by the angle of horizontal deviation when making vertical movements. The most common patterns, A or V, occur in 15–25% of all cases of horizontal strabismus. A-type strabismus, in adduction, can be caused by hyperfunction of the superior oblique muscle and hypofunction of the inferior oblique muscle or displacement of the muscular scleral attachments by directed muscles and orbital abnormalities. Purpose of the study. Аnalysis of surgical correction of strabismus in children. Materials and methods. We conducted a prospective analysis of 35 children (70 eyes) with A-pattern. The patients were divided into 2 groups. The first group consisted of 15 children (30 eyes) with hyperfunction of the superior oblique muscle, where posterior tenotomy of the ECM was performed. In the second group, 20 children (40 eyes) underwent horizontal transposition of the extraocular muscles. Results and conclusion. In the first group (30 eyes) with hyperfunction of the superior oblique muscle, posterior superior oblique tenotomy eliminated the A pattern in 96% of cases, and its weakening was observed in 4% of cases. Anderation is eliminated in 98% of cases. In the second group (40 eyes) without hyperfunction of the superior oblique, where the horizontal deviation was simultaneously eliminated with their transposition — the vertical component was eliminated in 89%, in 19% a residual angle of the horizontal component was observed from 5–15 PD. Application of posterior tenotomy technology in surgery A pattern with superior oblique hyperfunction eliminates the vertical deviation that occurs during adduction without disturbing the symmetrical position of the eyes during direct gaze. Transposition of horizontal motors without hyperfunction of the superior oblique allows one to simultaneously eliminate or reduce both the vertical and horizontal components. Timely elimination of the vertical component — A pattern in children allows you to correct the forced position of the head, avoiding additional interventions on the cervical muscular system, and also affects the formation of binocular vision.
| Mualliflar | Д. Б. Каланходжаева, Лола Джаннановна Бабаджанова, Дилором Тешаевна Махмудова, Икромова И. Ш. |
|---|---|
| Jurnal | Передовая Офтальмология |
| Nashr sanasi | 2024-06-19 |
| Jild | 8 |
| Son | 2 |
| Betlar | 74-78 |
| Til | ru |
| DOI | 10.57231/j.ao.2024.8.2.014 |
DOI: 10.57231/j.ao.2024.8.2.014 · Maqolaning asl sahifasi
Relevance. Secondary keratoectasia is a group of diseases of the cornea characterized by its thinning and protrusion. They can occur after various injuries, inflammatory diseases, surgical interventions and other…
In this article, more than 36 articles were analyzed; my colleagues and I gave the basic concepts on the use of stromal/stem cells in age-related macular degeneration. Age-related macular degeneration (AMD) is a…
Relevance. In the Republic of Uzbekistan, scientific research was conducted to study the spread of glaucoma, clinical and pathogenetic mechanisms of its development, features of early diagnosis and course of the…
Relevance. Extended excavation syndrome (ECS) is a congenital polyetiological non-progressive uni- or bilateral optic nerve anomaly, characterized by a significant increase in the diameter of the optic disc excavation…
Relevance. With the introduction of OCT devices into modern ophthalmology with a tunable radiation source, the SWEEP Source, it became possible to perform accurate measurements of the thickness of the choroid and…
Relevance. Simulators are an indispensable component of professional training in modern medicine. Purpose of the study. This study aims to analyze the effectiveness of using a VR simulator in teaching cataract…
Relevance. Congenital cataracts are often combined with other pathological changes in the organ of vision, which are observed in 36.8-77.3% of children: strabismus, nystagmus, microphthalmos, microcornea and other…
Relevance. Retinoblastoma is one of the rare malignant neoplasms found inside the eye in children. Purpose of the study. The aim of this research was to analyze the clinical presentations of patients with retinoblastoma…
Relevance. Currently, the problem of PM 2.5 air pollution is particularly acute in the capital of our Republic. Considering one of the highest levels of pollution in the world, the question arises about its impact on…
Actuality. Prevention of visual disability should begin in childhood. To plan high-tech specialized ophthalmiccare for young patients, it is necessary to monitor the structure of ophthalmopathology in infants in leading…