Инсоннинг ўспиринлик ва талабалик даврлари нафақат профессонал танлов ва касб эгаллаш учун мақбўл давр, балки бу давр ёшларнинг ўзлигини англаш, ўз қадр қимматини билиш ва бошқаларга нисбатан муносабатда бўлиш тажрибасини эгаллаш даври ҳамдир.
The paper presents the results of extraction of congenital cataract with IOL implantation in 50 (86 eyes) children aged 7 months to 12 years. In the examined patients, intraoperative complications were noted, such as posterior capsule rupture (8%), hyphema (6%), postoperative: fibrin effusion on the IOL (7%) and corneal edema (4.6%). With congenital bilateral cataracts after treatment, visual acuity increased on average from pr.l.certae to 0.1; with unilateral - from pr.l.certae to 0.01.
Болезнь Гиршпрунга (БГ) является часто встречающейся порок развития толстой кишки у детей. Частота встречаемости варьирует 1 на 5000 рождений. По данным литературы несмотря на многочисленные методы коррекции болезни Гиршпрунга, частота послеоперационных осложнений составляет от 28 до 70%.
The attention and development potential of tourism in our country is growing from year to year. However, the fact that tourist services and specialist guides can be enhanced to the level of association is a good example of this. The article elaborates on the methodological processes of excursion based on modern and European standards, as well as on the practical implementation and implementation of new excursion procedures through the QR codes. The work also illustrates the effectiveness of using innovative software such as radio guides, QR codes, and excursion tours through high-speed travel programs. The use of such innovations improves the quality and competitiveness of excursion services and also provides additional revenue for the tourist market.
Childhood glaucoma is a chronic vision threatening condition that may significantly impact an individual’s psychosocial well-being. The prognosis of glaucoma largely depends on early and accurate diagnosis and successful treatment, including control of increased. The purpose is to determine the effectiveness of modified tonometers (Maklakova) NGm2-"OF TP" in performing tonometry and tonography in infants and children with microphthalmos and blepharophimosis. We have proposed modified models of Maklakoff tonometers weighing 5, 10, and 15 g, made of silver, the weights on both sides have contact plates, which are made of medical plastic and have a diameter of the applanation area d=8 mm. Methods: Tonometry and tonography using the simplified method of Nesterov A.P. were carried out in 30 (60 eyes) children aged from birth (0) to 16 years. Results: Our recommended design of weights showed results that do not differ from those obtained using standard Maklakov tonometers. At the same time, modified weights provide the opportunity to determine tonometric IOP and eye hydrodynamics in newborns and patients with microphthalmia and/or blepharophimosis, which greatly facilitates the work of pediatric ophthalmologists and reduces examination time.
Congenital cataracts occupy a significant place in the structure of blindness and low vision and are one of the main causes of visual disability since childhood. Currently , cataract in children is one of the urgent problems of pediatric ophthalmology , given its fairly high prevalence and significant role in the structure of blindness and low vision . Due to clouding of the lens, the development of the visual analyzer is disrupted and amblyopia is formed, the treatment of which requires significant and lengthy efforts on the part of ophthalmologists and parents. Among the causes of blindness in children, the share of congenital cataracts varies from 7.5% (in developed countries) to 27.4% (in socially disadvantaged regions). The prevalence of cataracts in developed countries, as well as in Russia, is 1.6-2.4 per 100,000 children [25.].
Ibn Sinoning ilmiy ijod mahsuli va tabobat rivojiga qo’shgan hissasi. IX-X asrlarda Buxoro davlatida ham ilm-fan va madaniyat tez sur’atlar bilan rivojlana boshlangan paytda Buxoro hukmdorlari olimlar, faylasuflar, shoirlar, tabiblarni qo’llab quvvatlaganlar. Buxoroda ayniqsa, tibbiyot ilmi yuksak darajaga ko’tarilgan. Ko’p ko’zga ko’ringan hakimlar yashab o’tgan. Shulardan biri eng mashhuri Abu Ali ibn Sinodir. U o’zining mehnat sevarligi, o’tkir zehni, tug’ma iste’dodi va mehnatsevarligi bilan darslarni tezda o’zlashtirar va hatto muallimlariga noma’lum narsalarni ham kitobdan mustaqil o’qib-o’rganib olardi. Ayniqsa, tibbiyot ilmida u juda tez kamol topa boshlaydi. ‘’Tib ilmi, - deb yozadi Ibn Sino o’z tarjimai holida, - qiyin ilmlardan emas, shu sababli qisqa muddat ichida bu fandan juda ilg’orlab ketdim, endi hatto bilimdon tabiblar ham huzurimga kelibti bilimidan dars oladigan bo’ldilar. Bemorlarni ham ko’rib turardim va shu yo’sinda orttirgan tajribalarim natijasida muolaja menga shuqadar keng ochilib ketdiki, uni ta’riflab berish qiyin”. Abu Ali ibn Sino jahon fani va madaniyatiga ulkan hissa qo’shgan beqiyos siymo sanaladi. Bobokalonimizning falsafga doirasarlari alohida e’tiborga ega. ‘’Kitob ush-shifo” eng yirik falsafiyasi bo’lib, bu asarni o’z davrining ilmiy qomusidesa bo’ladi. Bundan tashqari, ‘’Kitob al-qonun fittib’’ asari tabobatga doir murakkab va ajoyib kitobi anatomiya, fiziologiya, etiologiya sohalarini o’z ichiga oladi.
The article presents the results of the clinical efficacy of the calculation formula with the correction factor of the optical force of the intraocular lens in children with congenital cataracts at risk of development of pseudophakic myopia. Personalized Rm corrective coefficient in the formula for calculating the force of IOL in children with risk of development of pseudophakic myopia makes it possible to achieve target refraction in 83.3% cases and reduce the development of reduce myopic refraction.
The study showed that 66 chi/dren aged from 8
months to 13 years with cataracts of different etiology
showed high efficiency in the primary implantation of
soft spherica/ monohlock intraoci1lar /ensf!S. Тhе high-
est rates of viziometry after treatment were observed in
chi/dren with congenital bl/ateral and traumatic cata-
racts. After _treatment, children with uveal and uni/at-
era/ congenital cataracts had relative/y /ow visua/ acu-
ity va/ues.
The article describes the factors affecting the target refraction of pseudophakic eyes of children after extraction of congenital cat-
aracts. The factors include features of the echobiometric parameters of the eye, refraction, comorbidity of congenital cataracts and
ocular pathologies, margins of error in calculating strength of the intraocular lens, localization and structure of the artificial lens,
as well as correction of obscure or refractive amblyopia in pseudophakic eyes. Development of the algorithm for correction of re-
sidual refraction of pseudophakic eyes in children both before and after IOL implantation with consideration of each of those fac-
tors currently remains a relevant problem.
To assess the clinical efficacy of the SRK II formula with a correction factor Rm in children with congenital cataracts who are at risk of pseudophakic myopia. Material and methods. A complex examination of 48 children (86 eyes) with congenital cataracts involved visometrics, tonometry, tonography, biomicroscopy, keratorefractometry, ophthalmoscopy, ultrasonography, and pachymetry. To determine the IOL power, we used the SRK II formula supplemented with the individual correction factor Rm, proposed by the authors. The examined children were divided into 2 groups. The main group 1 included 22 patients (42 eyes), for which the IOL power was calculated with the Rm factor. The control group 2 consisted of 26 patients (44 eyes) for which the IOL power was calculated according to the traditional SRK II formula using age-related hypocorrection of refraction but without the Rm coefficient. Results. The correction factor Rm, allowed us to achieve the targeted refraction in children who were at risk of developing pseudophakic myopia in 83.3 % of cases of the main group (versus 45.4 % of the control group cases) and reduce the development of high age-related refraction) by 37.9 %. In children of the main group, visual acuity reached, on average, 0.5 ± 0.001, while in the control group it was also higher but only reached 0.200 ± 0.001. Conclusion.The method of calculating the IOL optical power involving an individual correction factor Rm, according to the formula: SRK II – R – Rm can be recommended for clinical practice focused on children at risk of abnormal refractogenesis.
In this article, the characteristics of dispersed reinforced concrete, materials for dispersed reinforced concrete, current methods of production of composites based on dispersed reinforced concrete, their advantages and the development of dispersed reinforced concrete production in our country.
AIM: To analyze clinicofunctional and echobiometric indicators of the eyes in children with target refraction, pseudofacial myopia, and their mothers.
MATERIAL AND METHODS: In the eye department of the clinic of the Tashkent Pediatric Medical Institute, a correlation analysis of optical and echobiometric indicators was conducted in 30 children (30 eyes) with artifakia and their mothers (60 eyes). Visiometry, keratorefractometry, and ultrasound examination (A/В scan of the eyeball) were conducted. Children were examined 12-14 months after CC extraction with intraocular lens (I0L) implantation.
RESULTS: A strong direct correlation was determined between the optical power of lOLs in children and their mothers who were theoretically planned for I0L implantation of lOLs in the group that has achieved target refraction. This may indicate the possibility that the child has the same optical power as the mother and the optical power of lOLs in a child is the same as that in adults. No correlation was found between the optical power of the I0L in the eyes of children with pseudophakic myopia and maternal artificial lenses theoretically planned for implantation.
CONCLUSION: The direct strong correlations between the optical power of the I0L of children and the lenses of their mothers in the group with the target refraction achieved by this age make it possible to use the optical power of maternal lenses as a “guideline" when calculating the power of the I0L implanted in children to achieve the target refraction. The lack of correlation between the refractive powers of the I0L in children with pseudophakic myopia and the lenses of mothers may indicate that the SRKII formula with age-related hypocorrection is not adapted to calculate the I0L power in children at risk of excessive refractive enhancement after surgery.
The article presents the result of a survey of 35 patients after extracapsular extraction cataract with IOL implantation at the age of 8 months to 13 years.Patients underwent: viziometry, biomicroscopy, keratorefractometry, skiascopy, A, B-scan ultrasound, ophthalmoscopy, consultation of related specialists. The calculation of the optical power of IOL was performed using the SRK II formula. Refraction in the early postoperative period in children from 8 months to 6 years corresponded to the age range, from 6 to 13 years was presented in the form of ametropia.According to the authors , ametropia is a consequence of post-traumatic scarring of the cornea, tension of the stitches , swelling of the cornea and mistakes made at the calculation of the power of the IOL according to the formula SRK II.