Ophthalmic surgery in the pediatric ophthalmology department: it’s effectiveness, volume, and types

    Abstract

    Original article

    Ophthalmic surgery in the pediatric ophthalmology department: it’s effectiveness, volume, and types

    O.V. Kolenko, M.V. Pshenichnov, E.L. Sorokin, O.I. Kashura, A.D. Pilipenko

    S. Fyodorov Eye Microsurgery Federal State Institution, Khabarovsk Branch, Khabarovsk, Russian Federation
Far-Eastern State Medical University, Khabarovsk, Russian Federation
Postgraduate Institute for Public Health Specialists, Khabarovsk, Russian Federation

    Purpose. To evaluate volume and nosological forms of ophthalmic surgery cases in the pediatric department of the ophthalmology surgery and analyze their effectiveness.

    Material and methods. A continuous retrospective number of all ophthalmic surgery in the pediatric ophthalmology department of the Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution for three years (from January 2019 to December 2021).

    Results. 5025 children aged from 1 month to 18 years old were operated. Surgical treatment of pathology of oculomotor apparatus was performed in 2304 (45.9%) patients, scleral remodeling in progressive myopia – 1088 (21.7%) people, probing for congenital lacrimal ducts obstruction – 619 (12.3%) children. In 463 (9.2%) children, surgical removal of the chalazion was performed. 166 (3.3%) children were operated for eyelid, conjunctival and orbital tumors. 120 patients (2.4%) underwent surgical revascularization for optic nerve atrophy of various origins. 96 children underwent surgical correction of various congenital eyelid anomalies. During this period, 169 premature babies (3.4%) were under observation in the department. Of these, at threshold stages of retinopathy of prematurity (ROP), 34 patients underwent laser coagulation of avascular areas of retina, 22 patients received intravitreal ranibizumab injection, 14 children with stage 4 or 5 ROP underwent endovitreal intervention of traction retinal detachment.

    Conclusion. The volume of ophthalmic surgery performed in the pediatric department is quite high, the largest proportions are various methods for eliminating the pathology of oculomotor apparatus and scleral remodeling in progressive myopia. In most cases of strabismus and ptosis surgery, it was possible to achieve complete or partial elimination of pathology. Stabilization of the progressive course of myopia was achieved in 67.9% of cases, threshold stages of ROP – in 91.7%. The high demand of population for surgical treatment of pediatric ophthalmopathology indicates the need for further development and improvement of this area.

    Key words: pediatric ophthalmology, structure of surgical pathology, main trends of ophthalmic surgery

    For quoting: Kolenko O.V., Pshenichnov M.V., Sorokin E.L., Kashura O.I., Pilipenko A.D. Ophthalmic surgery in the pediatric ophthalmology department: it’s effectiveness, volume, and types. Rossiyskaya detskaya oftalmologiya. 2023;1: 5–12. DOI: https://doi.org/10.25276/2307-6658-2023-1-5-12

    Corresponding author: Alexey D. Pilipenko, naukakhvmntk@mail.ru