Amblyopia and associated problems

Abstract

Both earlier and now amblyopia associated with strabismus, remains a significant problem in pediatric ophthalmology, as evidenced by the large number of works, dedicated to this question, and not very high efficiency of treatment of patients with this disease. In our view, the current definition of amblyopia is very vague, as not clearly indicate its origin and distinctive clinical features. Different views on the essence of amblyopia has caused the emergence of several different classifications. So, E.S. Avetisov (1968), for example, proposes to assess the severity of amblyopia according to the reduction of central vision, and E.E. Somov (1997) – saving the character of his vision. And it is, as you know, is an integral indicator of the functional status of the visual analyzer. This is a really important point, because, as a rule, an essential companion of amblyopia of any origin are violations detected in binocular vision. Thus, good results of held pleoptic, that physicians usually evaluate the treatment outcomes of children with strabismus, should not be considered as final. We evaluated the functional status of the organ of vision of 91 children with amblyopia, associated with strabismus. In addition to the standard for such cases methods, we also used others – new or in our modification: the determine the of the nature of vision with Bagolini glasses, indication of the nature of visual fixation, of critical flicker fusion frequency (CFFF), evaluation the nature of visual fixation, optic coherence tomography (OCT) of the macular zone of the retina. Identified in the visual status of examined children of this age specialties allowed to develop for those who have a central visual fixation, adequate therapeutic algorithms, presented below.