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V. BUCHKOVSKA-NIKOLOVSKA, S. BOSNJAKOVSKA,

V. JORDANOVA-DIMOVSKA, D. STAVRIC, E.GJORGJIEVSKA.

EARLY DETECTION, DIAGNOSTICS AND TREATMENT OF HIGHLY HYPEROPIC AMBLYOPIA

The following conditions are necessary for binocular sight:

·         anatomical and dioptrical integrity of the eye;

·         binocular visual field;

·         perfect coordinance between the retinas and their elements ( NRKK).

Detection and diagnostics

·         hisrory of the occuence of the strabismus;

·         cover test;

·         motility test;

·         fixation test.

Rehabilitation of Amblyopia

·         optical correction;

·         occlusion;

            with atropinisatio,

            with penalisation.

·         application of prisms;

·         practices on eutiscop, flash and coordinator.

Results

A group of 27 patients (0-10 years) with monocular or binocular hyper­metropia (> + 6,00 dsph) treated in our clinic at the ortooptic department was analyzed in the period 1990-95.

The effects of the treatment were corelated to the main three parameter: Age, duration of the ortooptic treatment and the type of fixation before the treat­ment.

In 48,14% (13 patients) the visual acuity obtained was 1,oo cc. In 29,62% (8 patients) the visual acuity of the ambluopic eye was 0,70 cc.

The remaining 22,22% (6 patients) were with excentric fixation had the following results:

·         In 3 patients a visual acurity of the amblyopic eye of 6,00 cc. and the central fixation was obtained;

·         In 3 of those patients the results were not satisfactory.