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2019 year, number 2

ORGANIZATION, EXPERIENCE OF OBSERVATION AND TREATMENT OF PREMATURE INFANTS IN THE FYODOROV EYE MICROSURGERY FEDERAL STATE INSTITUTION OF MINZDRAV OF RUSSIA, NOVOSIBIRSK BRANCH

Kseniya Aleksandrovna BELOUSOVA, Dar’ya Rimovna MAMULAT, Mikhail Aleksandrovich SHAROKHIN, Igor Leonidovich PLISOV, Natal’ya Gennad’evna ANTSIFEROVA, Valentina Valentinovna SOLOV'YOVA
S. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk Branch
Keywords: ретинопатия недоношенных, лазеркоагуляция сетчатки глаза, задняя агрессивная ретинопатия недоношенных, retinopathy of prematurity, laser photocoagulation, posterior aggressive retinopathy of prematurity

Abstract

Purpose - to analyze the effectiveness of the algorithm used to monitor and treat premature infants. Material and methods. 903 premature babies were under the supervision of ophthalmologists from our clinic over the past 4 years (2014-2017). Retinopathy of prematurity was revealed in 302 patients. The laser photocoagulation was required in 78 cases. Repeated interventions were performed in 13 patients. Induced regression of the disease occurred in 72 children. The development of the 4-5 stage of the active phase of retinopathy of prematurity occurred in 6 patients. In 4 cases, the development of the 4-5 stage of the active phase of retinopathy of prematurity occurred in the case of posterior aggressive retinopathy. Results and discussion. The teamwork of ophthalmologists and neonatologists, timely and complete examination, reveals early signs of retinopathy of prematurity. Timely laser photocoagulation reduces the risk of disability, development of blindness and low vision. Reducing the number of laser photocoagulation carried out with an unchanged number of examinations, a low number of patients with terminal stages of the disease testify to the high effectiveness of monitoring and treatment of children with retinopathy of prematurity.