DIFFERENCES IN VISUAL ACUITY OF THE RIGHT AND THE LEFT EYE AND STRABISMUS ANGLE ACCORDING TO THE AGE IN INITIAL OVERVIEW, IMMEDIATELY AFTER THE SURGERY AND ONE YEAR AFTER THE SURGERY

Abstract

Author(s): Ševala TULUMOVI Dženana ADILOVI

Vision has an enormous importance for live and work of a human being and thus eye impairment takes a special place, too. A child with poor sight has difficulties with learning, and strabismus as an esthetic deficiency affects his/her mood, he/she is recluse, depressed and lacks self-confidence. The purpose of research is to examine functionality of binocular vision postoperatively in case of esotropia, and check visual acuity of both eyes, strabismus angle size, age and their influence on strengthening binocular vision postoperatively in case of esotropia. The research included 58 examinees with esotropia who underwent a surgery. The data used for this research were collected on the basis of information from history of diseases of the examinees cured at the Cabinet for orthoptics and pleoptics of the Clinic for ophthalmology, University Clinical Center Tuzla. The examinees were from 3 to 14 years old. The research included three period of observation: the first – initial examination, period after the surgery and one year after the surgery. The examinees were divided into two age groups: from 3 to 6 and from 7 to 14. The examined variables are: age, visual acuity of the right and left eye, strabismus angle size, binocular vision. Within research, the following methods were applied: analysis of medical documentation, examination of visual acuity, refraction, examination of motility of eye and oculomotor balance of eye muscles, cover and uncover of eye (cover-uncover test), measuring objective deviation, i.e. objective angle of strabismus (on synoptophore with obligatory alternating occlusion prior to angle measuring), binocular vision test (on synoptophore). Upon data processing, the results obtained from the research show that there are differences in average values of visual acuity of the right and left eye among age group of examinees from 3 to 6 and from 7 to 14 in initial examination, immediately after the surgery and one year after the surgery. It can be concluded that better results have been achieved at younger age group, from 3 to 6, in the sense of improvement of visual acuity, decrease of strabismus angle. A surgery at appropriate age determines favorable conditions for achieving and strengthening binocular cooperation, i.e. its functional improvement. Results of achievement also point to the importance of prompt treatment and to the need for early detection, i.e. early systematic examinations of pre-school children and prevention of strabismus and amblyopia, which at the same time points out the need for more serious inclusion of a defectologist - typhlologist in operation of health, pre-school and school institutions.

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