OPTICAL – COHERENT DIAGNOSTICS WITH PERINATAL PATHOLOGIES IN CHILDREN

Abstract

The results of examination of 50 patients aged from 10 days to 8 years with perinatal pathology of the central nervous system are presented. Ophthalmological, clinical-laboratory, instrumental research methods were carried out, as well as consultations of narrow specialists were organized.  The clinical features of changes in the organ of vision in children with concomitant perinatal pathology of the central nervous system were studied, which were presented as follows: glaucoma 14 (35%), cataract 12 (32%), atrophy of the optic disc 5 (8%), adnexal pathology ( primary strabismus) 2 (1%), hypoplasia of the optic disc 5 (4%), oncological diseases of the brain of newborns (1%), retinal angiopathy 3 (2%) cases, respectively.  Nystagmus and secondary strabismus were also detected - 9 (18%) cases, which were combined with some of the above pathologies. In the analysis of neurosonography data, hypoxic-ischemic disorders with increased pulsation of cerebral vessels and ventriculo-dilation were observed in children with congenital glaucoma in 10 (72%), with congenital cataract in 3 (21%), with stenosis of the lacrimal canal in 1 (7%) cases, respectively; According to electroencephalography data, epiactivity of the subcortical structures of the brain was detected in 6 (12%) children with pathology of the fundus and strabismus in cerebral palsy and the consequences of birth trauma. Perinatal risk factors for the development of the identified ophthalmopathology are presented: iron deficiency anemia 23 (46%), early toxicosis of pregnant women 17 (34%), acute respiratory infections 13 (26%) cases.