PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE

The purpose of our study was to analyze the effectiveness of the use of Fresnel prisms for various disorders of the eye movement.Material and methods. The studied group included 40 patients with prismatic correction and was divided into 2 groups of patients depending on the type of strabismus: 25 pa...

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Main Authors: G. V. Gladysheva, I. L. Plisov, V. B. Pushchina, N. G. Antsiferova, D. R. Mamulat, M. A. Sharokhin, K. A. Belousova
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Siberian Branch Publishing House 2019-06-01
Series:Сибирский научный медицинский журнал
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Online Access:https://sibmed.elpub.ru/jour/article/view/170
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author G. V. Gladysheva
I. L. Plisov
V. B. Pushchina
N. G. Antsiferova
D. R. Mamulat
M. A. Sharokhin
K. A. Belousova
author_facet G. V. Gladysheva
I. L. Plisov
V. B. Pushchina
N. G. Antsiferova
D. R. Mamulat
M. A. Sharokhin
K. A. Belousova
author_sort G. V. Gladysheva
collection DOAJ
description The purpose of our study was to analyze the effectiveness of the use of Fresnel prisms for various disorders of the eye movement.Material and methods. The studied group included 40 patients with prismatic correction and was divided into 2 groups of patients depending on the type of strabismus: 25 patients with incomitant strabismus, 15 patients with comitant strabismus. Elastic Fresnel prisms (EFP) were chosen and prescribed for prismatic correction. The patients were under dynamic monitoring under conditions of continuous use of EFP and positional trainings were performed if necessary (when doubling wasn’t completely compensated by EFP). The study had a prospective character.Results and its discussion. The prismatic correction made it possible to eliminate diplopia in direct gaze position and peripheral gaze directions in all 25 patients with paretic strabismus. In 18 out of 20 cases, the prismatic correction allowed to achieve functional recovery without subsequent chemorecession or surgical treatment. In 8 patients with comitant strabismus after the first stage of surgical treatment with stable deviation, binocular vision was formed under natural conditions. In 1 year, dynamic prismatic correction contributed to the recovery of 7 patients without surgical treatment with orthophoria in vivo.Conclusion. Prismatic correction of diplopia as an independent or additional functional method of treatment contributes to the achievement of the comitance of the eye muscles.
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institution Kabale University
issn 2410-2512
2410-2520
language Russian
publishDate 2019-06-01
publisher Russian Academy of Sciences, Siberian Branch Publishing House
record_format Article
series Сибирский научный медицинский журнал
spelling doaj-art-79d76063bf23445d9aaaa8f09ac1e7a22025-08-20T03:50:44ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202019-06-013939510010.15372/SSMJ20190315153PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICEG. V. Gladysheva0I. L. Plisov1V. B. Pushchina2N. G. Antsiferova3D. R. Mamulat4M. A. Sharokhin5K. A. Belousova6S. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchS. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchS. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchS. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchS. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchS. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchS. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Novosibirsk BranchThe purpose of our study was to analyze the effectiveness of the use of Fresnel prisms for various disorders of the eye movement.Material and methods. The studied group included 40 patients with prismatic correction and was divided into 2 groups of patients depending on the type of strabismus: 25 patients with incomitant strabismus, 15 patients with comitant strabismus. Elastic Fresnel prisms (EFP) were chosen and prescribed for prismatic correction. The patients were under dynamic monitoring under conditions of continuous use of EFP and positional trainings were performed if necessary (when doubling wasn’t completely compensated by EFP). The study had a prospective character.Results and its discussion. The prismatic correction made it possible to eliminate diplopia in direct gaze position and peripheral gaze directions in all 25 patients with paretic strabismus. In 18 out of 20 cases, the prismatic correction allowed to achieve functional recovery without subsequent chemorecession or surgical treatment. In 8 patients with comitant strabismus after the first stage of surgical treatment with stable deviation, binocular vision was formed under natural conditions. In 1 year, dynamic prismatic correction contributed to the recovery of 7 patients without surgical treatment with orthophoria in vivo.Conclusion. Prismatic correction of diplopia as an independent or additional functional method of treatment contributes to the achievement of the comitance of the eye muscles.https://sibmed.elpub.ru/jour/article/view/170comitant strabismusincomitant strabismusdiplopiaprismatic correctionelastic fresnel prisms
spellingShingle G. V. Gladysheva
I. L. Plisov
V. B. Pushchina
N. G. Antsiferova
D. R. Mamulat
M. A. Sharokhin
K. A. Belousova
PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE
Сибирский научный медицинский журнал
comitant strabismus
incomitant strabismus
diplopia
prismatic correction
elastic fresnel prisms
title PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE
title_full PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE
title_fullStr PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE
title_full_unstemmed PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE
title_short PRISMATIC CORRECTION IN STRABISMOLOGY: THEORY AND PRACTICE
title_sort prismatic correction in strabismology theory and practice
topic comitant strabismus
incomitant strabismus
diplopia
prismatic correction
elastic fresnel prisms
url https://sibmed.elpub.ru/jour/article/view/170
work_keys_str_mv AT gvgladysheva prismaticcorrectioninstrabismologytheoryandpractice
AT ilplisov prismaticcorrectioninstrabismologytheoryandpractice
AT vbpushchina prismaticcorrectioninstrabismologytheoryandpractice
AT ngantsiferova prismaticcorrectioninstrabismologytheoryandpractice
AT drmamulat prismaticcorrectioninstrabismologytheoryandpractice
AT masharokhin prismaticcorrectioninstrabismologytheoryandpractice
AT kabelousova prismaticcorrectioninstrabismologytheoryandpractice