[Rehabilitation methods for children with complicated cataract].
The work deals with the results of surgical treatment of 155 patients, who had uveal cataract, by method of facoemulsification with artificial crystalline lens transplanting. The age of the sick varied from 3 to 15 as a result of a complex treatment, involving determination of ethnic factor in the development of uveal cataract, before- and after-operation conservative medical treatment, surgical treatment of abscuration ambliopia 78.1% children and the keenness of sight 0.4 and 68.7% got binocularious sight. The study lot of posttraumatic cataract affected children included 189 patients, from them 68 with stationary cataract, 87 with intumescent cataract and 34 with postoperatorial aphakia. Age from 2 to 15 years. 76.3% cases of evolution without postoperatorial complications, in 13.7% intraoperatorial were observed different complications. The work presents the results of surgical treatment 196 of children, who had innate cataract, by the method of facoasoriation with soft intra-eyepiece lens transplanting from 133 patients who had two-sided cataract, 63 had monolateral cataract. All children underwent laser simulation and videocomputer auto-training in post-operation period. As a result of the treatment, 66.8% patients got the amelioration of sight with 0.4, and 58% got binocular sight. The children's age varied between 6 months and 15 years. This article presents a review of the treatment results of 213 children with posttraumatic, congenital and complicated cataracts. The rehabilitation of the patients with the lens pathology includes a complex of measures of early diagnosis, surgery, optimal correction, medical treatment before and after surgery, the prophilaxis and treatment of complications. This approach permits to increase the visual acuity in 83.8% and to restore the binocular vision in 71.4% patients.
Catedra Oftalmologie USMF "N. Testemiţanu", Chişinau, Republica Moldova.
G
G
Ivanov
V
V
Cuşnir
Natalia
N
Septichina
Vitalie
V
Cuşnir
D000293:Adolescent; D002386:Cataract / Q000151:congenital / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D002387:Cataract Extraction / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D042241:Early Diagnosis; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D019654:Lens Implantation, Intraocular; D009988:Orthoptics; D011182:Postoperative Care / Q000534:rehabilitation*; D057234:Preoperative Period; D012189:Retrospective Studies; D016896:Treatment Outcome; D014605:Uveitis / Q000150:complications / Q000601:surgery; D014786:Vision Disorders / Q000534:rehabilitation; D015348:Vision, Binocular; D014792:Visual Acuity