NEW OPPORTUNITIES IN THE REHABILITATION OF CHILDREN WITH CONGENITAL ANOPHTHALMOS AND MICROPHTHALMOS WITH METHOD OF STEP-BY-STEP PROSTHETICS

Abstract

Purpose. to present new opportunities in the rehabilitation of children with congenital anophthalmos and microphthalmos with method of step-by-step prosthetics. Material and methods. the analysis of clinical material for 3 years (2015-2017) on the basis of ocular prosthetics office of Moscow Helmholtz Research Institute of Eye Diseases. The clinical group consisted of 155 children: with congenital anophthalmos - 59 patients and microphthalmos - 96 patients (bilateral microphthalmos (9), bilateral anophthalmos (5)). The age of patients ranged from 1 month to 11 years. Under the age of 1 year, there were 82 children (53%). The identified dynamics in the age category of children significantly increased the number of patients under the age of 1 year who were treated for primary ocular prosthetics (53% for 2015-2017. versus 20.2% for 2000, 2013). Results. all 155 patients were treated for dilatation of the conjunctival cavity by the method of step-by-step eye prosthetics. To step eye prosthesis used set increasing in size retail, which can be varied in 3-4 weeks as stretching of soft tissues. In congenital anophthalmos to achieve stable results were performed from three to 6-7 replacement of the eye prosthesis, in congenital microphthalmos, depending on the size of the eye 4-6 replacement of the eye prosthesis. The volume of eye prosthesis used for 3 years increased by 4-5 times, respectively, noted an increase in the size of the conjunctival cavity, eyelids and the size of the orbit. Conclusion. The possibility of frequent and timely replacement of the medical eye prosthesis ensures the gradual formation of an adequate conjunctival cavity, and, accordingly, the development of bone orbit and eyelids. This treatment tactics promotes both functional and cosmetic rehabilitation of patients of early childhood with congenital anophthalmos and microphthalmos.