Daktaravichene Z Iu, Archiulene Iu V
Oftalmol Zh. 1989(3):150-4.
Clinical peculiarities of nystagmus have been studied in 73 patients, aged from 5 to 15 years, possibilities of conservative and surgical treatment shown and results of the combined treatment analysed. A great attention was paid to a comprehensive study of this contingent of patients, and the method of registration and analysis of jerking movements of the eye in nystagmus is described. On deciding the question of surgical treatment for nystagmus it is necessary to consider the data of electrophysiologic investigations characterizing the functional state of the retina. As indications to surgical treatment were considered the presence of a selective position of the head, i.e. jerk nystagmus or its mixed form with predominance of a jerk component, when the amplitude of jerking movements of the eye becomes smaller and visual acuity increases. As a result of the operation, the forced position of the head could be corrected in 77% of cases, intensity of nystagmus reduced in 73.2%, and visual acuity elevated in 69.4%.
对73名年龄在5至15岁的患者的眼球震颤临床特征进行了研究，展示了保守治疗和手术治疗的可能性，并分析了联合治疗的结果。高度重视对这一患者群体的全面研究，并描述了眼球震颤时眼球跳动运动的记录和分析方法。在决定眼球震颤的手术治疗问题时，有必要考虑表征视网膜功能状态的电生理检查数据。手术治疗的指征被认为是存在头部的选择性姿势，即急跳性眼球震颤或其以急跳成分占优势的混合形式，此时眼球跳动运动的幅度变小且视力提高。手术结果显示，77%的病例中头部的强迫姿势得以纠正，73.2%的病例眼球震颤强度降低，69.4%的病例视力提高。
