[Potentialities of conservative and surgical treatment of patients with congenital microphthalmia and anophthalmia]. / Vozmozhnosti konservativnogo i khirurgicheskogo lecheniia patsientov s vrozhdennym mikroftal'mom i anoftal'mom.

Congenital anophthalmia and microphthalmia were responsible for 1.7-1.8% cases of all cases treated at laboratory of plastic surgery and ocular prostheses. Clinical picture of the condition is described. The philosophy of rehabilitation of patients with congenital anophthalmia and microphthalmia is as follows: 1) no operations during the first years of life; 2) early staged fitting with prostheses; 3) surgical treatment in older age, when the resources of conservative extension of the cavity are exhausted. The authors emphasize that active conservative treatment should be preferred. Method for nonsurgical extension of the conjunctival cavity by staged insertion of prostheses is described. Positive and negative aspects of surgical treatments are discussed. The authors emphasize that surgical activity in early age is extremely harmful. Results of surgical treatment of 27 patients are presented. The patients were divided into 2 groups differing by the tasks of surgery: repair of consequences of previous operations (59.2% cases) and typical correction of the eye lids (40.8%). Clinical examples are offered.

[Clinical, diagnostic and therapeutic aspects of congenital anophthalmos]. / Kliniko-diagnosticheskie i lechebnye aspekty vrozhdennogo anoftal'ma.

This study was aimed at elucidating the diagnostic potentialities of computer-aided tomography (CAT) in congenital micro- and anophthalmia. Twenty-five young patients with various clinical manifestation of this abnormality were examined. Used in complex with the traditional diagnostic methods, CAT played the key role. It permitted imaging the entire complex of changes in the orbit and its contents, which helped choose adequate therapeutic measures. Surgical treatment was proven to be little effective or useless at all in cases with a more than 4 cm3 deficit of the orbital volume on the involved side; contrary to this, early staged fitting with prostheses is effective and creates favorable conditions for subsequent surgical correction in a less than 4 cm3 deficit of the volume.

[Computerized tomography in anophthalmic syndrome]. / Komp'iuternaia tomografiia pri anoftal'micheskom sindrome.

The computerized tomography picture of anophthalmia syndrome permits an accurate calculation of the orbit volume in this syndrome. These data are valuable for prosthesis. Computerized tomography helps objectively estimate the quality and position of the stump and implant after enucleation, fixation of the rectus muscles, relations between the prosthesis and the stump. Computerized tomography is a highly informative method for examinations in anophthalmia syndrome.