Spisanie 2-2015-final

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    EDITORIAL BOARD

    Editor-in-chiefProf. Tzvetan Markov, DSc

    Co-editor-in-chiefAcad. Prof. Pravoslava Guguchkova-Ianchuleva, DSc

    ditor in chargeAss.Prof. Borislav Dabov, MD, PhDditorial managerChristina Vidinova, MD, PhDAdministrative secretaryLubomir Denchev, MD

    Review and computer design editorRumen CvetanovTreasurerIrenna Demircheva, MD

    EDITORIAL COUNCILAss. prof. Lachezar Voinov, MD, PhD - Sofi aProf. Marieta Konareva, MD, PhD - PlovdivProf. Chavdar Balabanov, MD, PhD - PlevenProf. Iva Petkova, MD, PhD -Sofi aAss. Prof. Zornica Zlatarova, MD, PhD - VarnaAss. Prof. Georgi Yordanov, MD, PhD - Stara Zagora

    ISSN 1311 - 0624

    BULGARIAN REVIEW OF OPHTHALMOLOGY

    . LVIV 2015 2

    Prof. Pravoslava Guguchkova-Ianchuleva DScGSM: 0888 72 64 08

    E-mail: pravian7@yahoo.com

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    Prof. Tzvetan Markov DScGSM: 0894 36 98 07

    E-mail: tzvetanmarkov@abv.bg

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    CONTENTS

    Clinical Ophthalmology - DiagnosticsVISUAL SCREENING PROGRAMS IN CHILDREN-

    WORLDWIDE AND IN BULGARIAKirilova Y., Vassileva .

    OCT IN PATIENTS WITH TRABECULECTOMYBuzarovska K.

    AGAIN FOR ENDPOINT BLOOD CAPILLARIES IN THE EYE

    Madrakova I., Demerdieva Z.

    Clinical Ophthalmology - Surgery treatmentENDOCYCLOPHOTOCOAGULATION

    Tanev Iv. , Boumbarova S., Koleva S. , Tanev V.

    ROLE OF PREOPERATIVE FACTORS ON THE SURGICAL RESPONSE (/MM RECESSION) OF BMRR

    FOR ALTERNATING/ALTERNATED ESOTROPIA

    Dimitrova G.

    PERFORATIVE INJURY OF THE POSTERIOR SEGMENT OF THE EYE - SURGICAL TREATMENT

    Dubov B.

    Helping the Resident Ophthalmologist CLINICAL CHARACTERISTICS OF DIABETIC

    RETINOPATHY Guguchkova P., Vidinova Ch.

    3

    10

    14

    15

    25

    31

    42

    20

    39

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    - Clinical Ophthalmology - Diagnostics 2, 2015 (3-9) Bulgarian review of ophthalmology

    - ., .

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    Visual Screening programs in children- worldwide and in BulgariaKirilova Y., Vassileva .

    Eye Hospital "Acad. Pashev" - Sofi a, Bulgaria

    ::

    .: -

    (2010-2012). 1 437 , : I- (3-6 ) II- (7-14 ). - Scolatest Visiotest. - . .: 1 437 (710 727 ) 3 14

    ( 7.88 3.23 ). 629 (3 - 6 ), 808 , (7 - 14 ). 1 266 (88,1%) - 0,8 1,2. 65 (4,52%) - 106 (7,38) - .: -

    .

    AbstractAim: To conduct vision screening for preschoolers and school-aged children and to compare the

    results with date from similar programs in the world and in our country.Methods: Screening was conducted in one of the districts of Sofi a - "Poduene"- for period of three

    years (2010-2012). All 1437 children were divided into two groups according to their age: I-st group of preschoolers children (3-7 years) and II-nd group of school-aged children (7-14 years). Visual acuity (VA) was examined with portable equipments- "Scolatest" and "Visiotest" . Written informed consent was obtained from parents of all included children. An statistical analysis and search on literature for incidence of amblyopia were done.

    Results: 1437 children (710 boys and 727 girls) aged from 3 to 14 years (mean age 7.88 3.23 years) were examined. The fi rst group included 629 children (3-6 years), while the second group included 808 children (7-14 years). Normal VA (from 0.8 to 1.2) was found in 1266 children (88.1%). Decreased VA was established in 171 childrens: In both eyes in 65 (4.52%) and unilateral decrease of

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

    VA and risk of amblyopia- in106 (7.38%).Conclusion: The incidence of amblyopia in Bulgaria is higher than in other countries and it is

    necessary to establish a national program of regular examinations in childhood.

    , - Vision 2020 - (). - . - -

    - 20 70 [10, 25]. - , - , . , - ( , , - ..) [28]. , ,

    1-5% [5,25]. - , , - , , [5, 13, 21, 25]. -

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    2008 . , 4 132 , - 6 : 25% - , 2,2%- 0,5%- [7]. 45 087

    , : 4,11 % - 0,5; 4,03 % - ; 2,85 % -, 0,10% [3]. -

    2 441 (6-15 ): 4,82% ; 76,8% , 11,4% , 5,9% -, 2,7% - [23].

    5 839 7 15 , : 22,1% - 0,5, 12,5% - 0,3. - - 55,7%, 27,3% 17,0% [11]. ,

    - - 4- [11, 15]. 1.0% 2.6%. [20,26]. Schmuckler -

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

    - 0.9% 1.6% - . [24]

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    (2010-2012). -

    3 14 6 848 . 11 - 13 .

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    ) - , Visiotest. 2.

    . 1 Scolatest - - 3 6 .

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

    2. - (7-14 ).

    , - , .

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    : 1 437 - 710

    (49%) 727 (51%) 3 14 ( 7.88 3.23 -). 629 -

    3 6 ( 4.92 1.08 ). 808 , 7 14 - ( 10.2 2.3 ). -

    , 1 266 (88,1%) : , - , 0,8 1,2. 171 (11,9%)

    . - - I. I: -

    1 (3-6)(n=629)

    2 (7-14.)(n=808)

    (n=1437)

    1.2-1.0 498 566 1064 (74,1%)

    0.9 42 64 106 (7,4%)0.8 26 39 65 (4,5%)0.6 19 17 36 (2,5%)0.4 4 10 14 (1,0%)0.2 3 12 15 (1,0%)

    137 (37- 1 100- 2) 1 . 106 (7,38%) (29 1 77- 2) 2 0,6. . 31 1,0, - 0,8, -. - (3 6 ) -

    29 (2,02% 1437) (VA 0.6) - , - . (VA 0.6 )

    II 77 (5,36% 1437) -, .

    -

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

    [2, 25].

    , . , - , - - . 6 2,2- 2,3%, - 2,02% ( II). -

    -

    -

    --

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    2008 [Williams, 2008]

    14 541 < 6 3,6%

    2002 [Knig, 2002]

    1 181 3 1,9%

    2008 4132 < 6 2,2% 2008 [Drover,

    2008]946 < 6 4,7%

    2010-2013

    [Dirani, 2010, Chia, 2013]

    3009 < 6 0,6%

    2004 [Lim, 2004]

    36 973 3-5 0.4%

    2013 [Afsari, 2013]

    2090 1,5-6 2,3-4%

    2010 [-, 2010]

    2 060 3-7 1.97%

    , 11,4% 22,1%, 0,1%. , . , a - 5,36%. 2014 . 6 12 - 4,3%, - 3,6% ( III).

    -

    2005 [Donnelly-2005] 1582 8-9 3,6% 2009 [Salomao-2009] 2441 6-15 11,4% 2007 [El-

    Bayoumy-2007]5839 7-15 22,1%*

    2008 [Bacchi-2008] 45 087 7-15 0.1% 2014 [Oscar-2014] 2 054 6-12 4,3%

    * III:

    - / - .

    - 0,6 1,8%, - 2,71%. - , . - - - -, - [17, 20, 22, 29].

    2010 , - 1,9% [1]. II: -

    /

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    - Clinical Ophthalmology - Diagnostics Bulgarian review of ophthalmology

    : ,

    - . - 1989. 95% . - 88,1% , 4,52% - 7,38% . - - .

    :1. ., .,

    . - 3 7 . -, 2010,1.

    2. Afsari S, Rose KA, Gole GA, Philip K, Leone JF, French A, Mitchell P. Prevalence of anisometropia and its association with refractive error and amblyopia in preschool children. Br J Ophthalmol. 2013 Sep; 97(9):1095-9.

    3. Bacchi K, Sarcar SN. Vision screening programme among school children--evaluation of the outcome in a selected urban locality. J Indian Med Assoc. 2008 May;106(5):283-6, 288.

    4. Chia A, Lin X, Dirani M, Gazzard G, Ramamurthy D, Quah BL, Chang B, Ling Y, Leo SW, Wong TY, Saw SM. Risk factors for strabismus and amblyopia in young Singapore Chinese children. Ophthalmic Epidemiol. 2013 Jun; 20(3):138-47.

    5. Chua B, Mitchell P. Consequences of amblyopia on education, occupation, and long term vision loss. Br J Ophthalmol 2004;88:1119-

    1121 6. Dirani M, Chan YH, Gazzard G,

    Hornbeak DM, Leo S, Selvaraj P, Zhou B, Young TL, Mitchell P, Varma R, Wong TY, Saw SM., Prevalence of Refractive Error in Young Singaporean Children (STARS) Study. Invest Ophthalmol Vis Sci. 2010 Mar; 51(3):1348-55.

    7. Donahue SP, Baker JD, Scott WE, Rychwalski P et. al. Lions Clubs Interna