Purpose. To analyze optical and biometric indicators of children's eyes with various stages of congenital juvenile glaucoma (CJG) combined with myopia. Material and methods. We examined 17 patients (31 eyes) aged 11 to 17 (averagely 14.0 ± 0.2 years) diagnosed with CYG who underwent, prior to surgical or conservative treatment, a regular ophthalmological examination supplemented with the measurement of the central corneal thickness (on an automatic contactless tonometer-pachymeter by NIDEK, USA), and the index of corneal deformation (ICD) by the Shkrebets technique. Results. The analysis showed a possible correlation between 1) tonometric intraocular pressure (P) and the axial length of the eye, 2) P t and the ratio of excavation to optic disk diameter (E/ON), 3) axial length of the eye and the central corneal thickness at the terminal CYG stage, and 4) the axial length and the refraction at the initial stage of CYG. Conclusion. As the glaucomatous process progresses, children with CYG combined with myopia show an increase of myopic refraction, a decrease in fibrous membrane rigidity, pretrabecular and trabecular changes, axial elongation, increased IOP due to an imbalance between the production of intraocularfluid and its outflow, an expansion of the excavation of the optic disk and a decrease in the central corneal thickness.
Неврологические проявления остеохондроза позвоночника являются чрезвычайно распространенной патологией, которая ведет к длительной утрате трудоспособности и к социальной дезадаптации лиц трудоспособного возраста. По данным эпидемиологических исследований последних лет, дегенеративные изменения в позвоночнике в возрасте 20-25 лет имеют 53% людей в общей популяции Земли. В возрастной группе от 22 до 40 лет, боль по поводу заболеваний позвоночника составляет 15-20%, а в возрасте 45-65 лет достигает 23%. Частота быстро повышается с возрастом и составляет у лиц 40-50 лет 93%, а у людей старше 60 лет — 100%. Доля дегенеративно-дистрофических поражений позвоночника в поясничном отделе составляет более 80%, среди которых 60% обусловлены грыжей межпозвонкового диска
The objective of this review was to study biomechanical parameters of the eye in children with different stages of congenital glaucoma. 20 patients (40 eyes) aged from 1 month to 3 years with simple primary congenital not operated glaucoma were examined. 7 patients (14 eyes) entered in the 1st group (developed stage), 8 patients (16 eyes) — the 2nd group (passed stage), 5 patients (10 eyes) — the 3rd group (end stage) respectively. Research methods included visiometry, refractometry, ophthalmoscopy, definition of the optic disc excavation, ultrasound А-scan of the anterior posterior size of the eye, Filatov’s — Kalfa elastotonometry with weights 5g, 10g, 15g.
The analysis of the data shows that gradient of the elastotonometry graphs elevation registered in all groups, but the highest was in group of children with terminal stage. Thus the anteroposterior size of the eye and intraocular pressure increase corresponding to disease severity. Biomechanical parameters of the eye increase according to the stages of a congenital glaucoma first form. The decrease of sclera rigidity shows morphological changes of the eye tissue and severity of glaucoma process.
Temporomandibular disorders (TMDs) encompass internal derangements of the temporomandibular joint (TMJ), abnormalities of masticatory muscles and the neighboring structure of the TMJ, and TMJ-related headache conditions. In all manifestations of TMDs, the major negative effects the patients experience include jaw movement limitations and of course slight to severe pain in the head and neck regions. TMDs include TMJ and facial pain, including tenderness to touch the facial region muscle (particularly masticatory muscles and the TMJ), uncoordinated jaw movements, and the presence of joint noise .While many research studies have evaluated diet intake problems during postop patient follow-ups of TMDrelated surgeries, some studies have also considered diet intake before and after treatment of both nonsurgical and surgical evaluations of TMD patients in the context of jaw movement and the level of pain the patient experienced.
Асимметричное сокращение жевательных мышц приводит к несогласованному движению обеих нижнечелюстных головок в суставных ямках, что вызывает повреждение суставных поверхностей, сдавление отдельных участков внутрисуставного диска, дистальное смещение головок нижней челюсти.
The article points out the issues associate with combination of pharmaco-physiologic methods of treatment in complex treatment of glaucomatous optic neuropathy in condition with compensate intraocular pressure. There was informationabout main conceptions of neuroprotection and the role of retinalamin as a main biogenic stimulator from the citomedin group. It should be noted that, these days, hypotensive therapy is not enough effectively retain process of the progression of GON. It is more reasonable to use drugs directed to improve a blood supply in the optic nerve area, mainly via targeted delivery with a help of endonasal electrophoresis and percutaneous electrostimulation with ESOM apparatus that considerably improve a quality of patient`s life by retaining atrophic process
The article points out the issues associate with combination of pharmaco-physiologic methods of treatment in complex treatment of glaucomatous optic neuropathy in condition with compensate intraocular pressure. There was informationabout main conceptions of neuroprotection and the role of retinalamin as a main biogenic stimulator from the citomedin group. It should be noted that, these days, hypotensive therapy is not enough effectively retain process of the progression of GON. It is more reasonable to use drugs directed to improve a blood supply in the optic nerve area, mainly via targeted delivery with a help of endonasal electrophoresis and percutaneous electrostimulation with ESOM apparatus that considerably improve a quality of patient`s life by retaining atrophic process
Tug'ma glaukoma bilan og'rigan bolalarda ko'zning biomexanik ko'rsatkichlari uning turli bosqichlari bilan o'rganildi. Oddiy birlamchi tug'ma operatsiyasiz glaukoma bilan og'rigan 1 oydan 3 yoshgacha bo'lgan 20 bemor (40 ko'z) tekshirildi. Ulardan 1-guruhga (ilg'or bosqich) mos ravishda 7 (14 ko'z), 2-chi (ilg'or bosqich) - 8 (16 ko'z), 3-chi (terminal bosqich) 5 bemor (10 ko'z) kiradi. Tadqiqot usullari orasida visometriya, refraktometriya, oftalmoskopiya, optik diskni qazib olishni aniqlash, ko'zning old-orqa o'lchamini ro'yxatga olish bilan A-skanerlash, 5 g og'irlikdagi elastotonometriya; janubiy; 15d, shuningdek, Filatov-Kalf usuli bilan. Olingan ma'lumotlarning tahlili shuni ko'rsatdiki, elastokrivning ko'tarilish gradienti barcha guruhlarda qayd etilgan, ammo eng yuqori ko'rsatkich terminal bosqichi bo'lgan bolalar guruhida bo'lgan, ko'zning anteroposterior hajmi esa mos ravishda kattalashgan. kasallikning og'irligi bilan. Ko'z ichi bosimining oshishi kasallikning og'irligiga mutanosib ravishda qayd etilgan. Konjenital glaukomaning oddiy shakli rivojlanishi bilan ko'zning biomexanik ko'rsatkichlari bosqichlarga ko'ra ortadi. Shu bilan birga, tolali membrananing qattiqligining pasayishi ko'zning to'qimalarida morfologik o'zgarishlarni va glaukoma jarayonining zo'ravonligini ko'rsatadi.
Aim of research. To study the dynamics of the FBS of the eyes in children with congenital glaucoma by age. The studies were carried out in the clinic of TashPMI, on 132 eyes with congenital glaucoma. By age, patients were distributed according to the classification of E.S. Avetisova 2003. At the advanced stage of FBS, the eye exceeded the average statistical norm by 2.9 mm, 2.3 mm, 2.3 mm, at the advanced stage by 4.7 mm, 4.8 mm, 6.3 mm, and at the terminal stage by 7.5 mm, respectively, in each age group of eyes. An increase in the size of the anterior-posterior axis of the eye in congenital glaucoma depends not only on the violation of the hemo hydrodynamic processes of the eye with the accumulation of intraocular fluid, but also depends on the age-related dynamics of eye growth.