EFFICIENCY OF THE STAGE-BY-STAGE PROSHTETICS IN REHABILITATION OF THE PATIENTS WITH CONGENITAL ANOPHTHALMOS AND MICROPHTHALMOS

Efficiency of the stage-by-stage prosthetics method in patients with congenital anophthalmos and microphthalmos for enlargement of conjunctival cavity, osseous orbit and eyelids was studied in this work. In 259 patients with congenital anophthalmos and microphthalmos was performed a bloodless enlargement of the conjunctival cavity by method of stage-by-stage prosthetics by prostheses increasing in size. The age of patients varied from 1 month to 20 years. Follow-up terms made up to 10 years. The results of treatment were evaluated according to the following criteria: possibility of prosthetics, volume and shape of the prosthesis, size of the orbit, length and width of the palpebral fissure. The possibility of prosthetics by standard prostheses was achieved in all cases. The volume of the prostheses in use increased from 0.45 to 2.45 cm?. In 6 months of the prosthetics horizontal and vertical orbital sizes became 0.4-2.7mm larger, palpebral fissure - 1.6-4.1mm longer and 0.7-1.9 mm wider. The best dynamics was noted if the beginning of prosthetics occurred in the early childhood (from the age of 1 month). Thus, the stage-by-stage prosthetics is an effective method of conjunctival cavity, eyelids and orbit enlargement in the early childhood in patients with congenital microphthalmos and anophthalmos

congenital microphthalmos, anophthalmos, stage-by-stage prosthetics, efficiency