BOLALARDA TUG'MA KO'RISH BUZILISHLARINI ERTA DAVOLASHNING AHOLISI VA DAVOLASH OLINMAGAN HOLATLARNING OQIBATLARI
Kalit so‘zlar:
ptozis, katarakt, astigmatizmAbstrak
Ushbu maqola bolalarda tug'ma ko'rish buzilishlarini erta aniqlash va o'z vaqtida davolashning muhimligini ta'kidlashga, shuningdek, hech qanday aralashuvlar ko'rilmasa, yuzaga kelishi mumkin bo'lgan salbiy oqibatlarni ilmiy asosda tushuntirishga bag'ishlangan. Tug'ma ko'rish buzilishlari bolalarda ko'rish tizimining rivojlanishiga bevosita ta'sir qiladi, ko'rish analizatorining normal yetilishini buzadi. Xususan, agar bu patologiyalar hayotning dastlabki yillarida aniqlanmasa yoki yetarli darajada davolanmasa, ko'rish tizimida chuqur va qaytarib bo'lmaydigan funktsional o'zgarishlar yuz berishi mumkin.
Tadqiqotlar shuni ko'rsatadiki, tug'ma ko'rish buzilishlari ambliyopiya (dangasa ko'z), binokulyar ko'rishning buzilishi, ko'rish o'tkirligining pasayishi va strabismusning rivojlanishiga olib kelishi mumkin. Bundan tashqari, vizual stimulyatsiyaning yetarli emasligi miya yarim korteksining ko'rish sohalarida neyron aloqalarining yetarli darajada shakllanmaganligiga yoki qaytarib bo'lmaydigan neyron o'zgarishlariga olib kelishi mumkin. Bu nafaqat ko'rish funktsiyasini cheklaydi, balki bolaning kognitiv rivojlanishiga, akademik ko'rsatkichlariga va ijtimoiy moslashuviga ham salbiy ta'sir ko'rsatadi. Ilmiy manbalarga ko'ra, ko'rish tizimining neyroplastik davrida, ya'ni bolalikning dastlabki bosqichlarida erta tashxis qo'yish va davolash juda samarali bo'lib, ko'rish funktsiyalarini sezilarli darajada yaxshilaydi. Shuning uchun bolalarda vizual skriningni keng joriy etish, tug'ma ko'rish buzilishlarini erta aniqlash va har bir bola uchun individual davolash strategiyalarini ishlab chiqish bolalar oftalmologiyasining ustuvor yo'nalishlaridan biri hisoblanadi.
Havolalar
1. Olitsky SE, Nelson LB. Congenital ptosis: evaluation and management. Pediatr Clin North
Am. 2014;61(3):505–518.
2. Bagheri A, Tavakoli M, Salour H. Management of congenital ptosis: a review. J Ophthalmic
Vis Res. 2015;10(3):335–346.
3. Anderson RL, Jordan DR, Dutton JJ. Frontalis suspension in congenital ptosis: current
concepts. Ophthalmic Plast Reconstr Surg. 2017;33(2):79–85.
4. Dagi LR, MacKinnon S. Marcus Gunn jaw-winking syndrome: clinical features and
management. Surv Ophthalmol. 2018;63(5):646–656.
5. Lambert SR, Drack AV. Infantile cataracts. Surv Ophthalmol. 2019;64(5):595–609.
6. Vasavada AR, Nihalani BR. Pediatric cataract surgery. Curr Opin Ophthalmol.
2016;27(1):54–61.
7. Lin D, Chen J, Lin Z. Timing of surgery for congenital cataract and visual outcomes. Am J
Ophthalmol. 2020;210:88–96.
8. Birch EE, Kelly KR. Visual deprivation and amblyopia in congenital cataract. J AAPOS.
2019;23(6):311–317.
9. Donahue SP, Nixon CN. Amblyopia and binocular vision development in children.
Ophthalmology. 2018;125(6):896–903.
10.Harvey EM. Development and treatment of astigmatism-related amblyopia. Optom Vis Sci.
2017;94(6):602–609.
11.Cotter SA, Foster NC, Holmes JM. Optical treatment of astigmatism-related amblyopia.
Ophthalmology. 2016;123(6):1195–1203.
12.Wallace DK, Repka MX, Lee KA. Pediatric eye evaluations: refractive errors and amblyopia
risk factors. Ophthalmology. 2018;125(1):159–172.
13.Birch EE, Wang J. Stereoacuity outcomes after treatment of childhood strabismus. Invest
Ophthalmol Vis Sci. 2020;61(4):12.
14.Gunton KB. Advances in the management of strabismus. Curr Opin Ophthalmol.
2020;31(5):373–378.
15.Hatt SR, Leske DA, Holmes JM. Interventions for childhood strabismus and amblyopia.
Cochrane Database Syst Rev. 2022;5:CD006461.
