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 anomalies of the cornea, as well as the vitreous body, choroid, retina and optic nerve. Purpose of the study. To study the features of a differentiated approach to surgical treatment and rehabilitation of children with cataracts combined with microphthalmos. Materials and methods. An analysis of the case histories of 72 children (117 eyes) diagnosed with congenital cataracts, who were hospitalized in the eye department of the TashPMI clinic for the period from 2016 to 2023 at the age of 3 months to 14 years, was carried out. Boys made up 42%, girls 58%. The patients underwent ophthalmological, clinical and laboratory examinations and consultations with specialists. Results and conclusion. For children with microphthalmia, surgical treatment was carried out as early as possible. At the first stage, extracapsular cataract extraction (ECE) was performed. At the second stage, an IOL was implanted with the lens placed in the ciliary sulcus if the eye condition was suitable. In the early postoperative period, an inflammatory reaction was observed in the form of a fibrous-exudative reaction in 49% of cases, in the late postoperative period - IOL subluxation in 9%, ocular hypertension in 18% of cases, respectively. Thus, children with congenital cataracts and associated microphthalmos require early surgical intervention before 1 year of age - stage 1, including cataract extraction, followed by stage 2 - IOL implantation. Constant dynamic monitoring is necessary, given the high percentage of postoperative complications.
| Mualliflar | Бузруков Б.Т., Абдурахманова Ч.К. |
|---|---|
| Jurnal | Передовая Офтальмология |
| Nashr sanasi | 2024-06-19 |
| Jild | 8 |
| Son | 2 |
| Betlar | 51-54 |
| Til | ru |
| DOI | 10.57231/j.ao.2024.8.2.009 |
DOI: 10.57231/j.ao.2024.8.2.009 · Maqolaning asl sahifasi
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