[Methods to improve the delivery of hospital ophthalmological care to children in the Ukrainian SSR]. / Puti optimizatsii okazaniia statsionarnoi oftal'mologicheskoi pomoshchi detiam v Ukrainskoi SSR.

On the material of Children Eye Department the Filatov Institute, changes in the structure of eye pathology for the period of 1947-1989 are analysed. It is shown that for the last years, among all eye diseases, the incidence of inflammatory eye diseases fell to 7.5%. The incidence of eye traumas and their outcomes reaching 26.2% remained stable. The incidence of congenital pathology (35.4%) and new-formations in the eye (10.8%) with predominance of malignant tumors, complex pathology of oculomotor apparatus (23.5%) reached high values. Organization of centers, of ophthalmic microsurgery in children allowed to introduce into ophthalmological practice complex surgical interventions requiring special devices and instruments. Surgical activity of the Center of Ophthalmic microsurgery in Children on the basis of the Filatov Institute made up 84.5% in the last five years. In order to optimize the rendering of stationary ophthalmological aid to children, the authors consider it necessary to improve continuity between a microsurgical center and regional children eye hospitals, to increase qualification of children ophthalmologists, to create a Republic Center for Rehabilitation of Children with eye diseases on the basis of a sanatorium with a good ophthalmological equipment.

[The late results of different methods of sclera-reinforcing operations on children and adolescents suffering from progressive myopia]. / Otdalennye rezul'taty razlichnykh metodov skleroukrepliaiushchikh operatsii u detei i podrostkov, stradaiushchikh progressiruiushchei blizorukost'iu.

The paper analyses immediate and remote results of different methods of sclera-enhancing operation in the posterior segment and equatorial zone of the eye in 362 children and juveniles (407 eyes) with progressive myopia, aged from 5 to 15 years. It is shown that for enhancement of the sclera in the posterior segment of the eye it is more advisable to use X-and Y-shaped grafts after the method of N. A. Puchkovskaia, A. S. Seniakina, G. G. Melikov or V. S. Beliaev. Stabilization of the myopic process within 6-7 years was recorded in 83.4% of cases. The method of scleroplasty after the N. N. Pivovarov's method is more preferable for enhancement of the sclera in the equatorial zone of the eye. Stabilization of the process within 3 years was recorded in 77.7%. Administration of autologous blood with hydrocortisone into the tenon's space after the A. S. Novokhatskii stabilizes the myopic process within a year in 83.3% of cases. Donor material can be successfully replaced by a bioinert artificial synthetic Texplant for sclera-enhancing operations in dystrophic changes of the sclera in any part of localization. Stabilization of the myopic process within 5 years was recorded in 97.2% of cases.