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HIGH NEUROLOGICAL RISK AND STRABISMUS
Ena Sardelić (2017)
University of Split
School of Medicine
Ophthalmology
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Sardelić, E. (2017). VISOKA NEURORIZIČNOST I STRABIZAM (Master's thesis). Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:422739

Sardelić, Ena. "VISOKA NEURORIZIČNOST I STRABIZAM." Master's thesis, University of Split, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:171:422739

Sardelić, Ena. "VISOKA NEURORIZIČNOST I STRABIZAM." Master's thesis, University of Split, School of Medicine, 2017. https://urn.nsk.hr/urn:nbn:hr:171:422739

Sardelić, E. (2017). 'VISOKA NEURORIZIČNOST I STRABIZAM', Master's thesis, University of Split, School of Medicine, accessed 20 July 2019, https://urn.nsk.hr/urn:nbn:hr:171:422739

Sardelić E. VISOKA NEURORIZIČNOST I STRABIZAM [Master's thesis]. Split: University of Split, School of Medicine; 2017 [cited 2019 July 20] Available at: https://urn.nsk.hr/urn:nbn:hr:171:422739

E. Sardelić, "VISOKA NEURORIZIČNOST I STRABIZAM", Master's thesis, University of Split, School of Medicine, Split, 2017. Available at: https://urn.nsk.hr/urn:nbn:hr:171:422739

Metadata
TitleVISOKA NEURORIZIČNOST I STRABIZAM
Title (english)HIGH NEUROLOGICAL RISK AND STRABISMUS
AuthorEna Sardelić
MentorDobrila Karlica Utrobičić (mentor)
GranterUniversity of Split
School of Medicine
(Ophthalmology)
Split
Defense date and country2017, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Ophthalmology
Abstract
Cilj istraživanja: Utvrditi promjenjivost kuta škiljenja u prijevremeno rođene visokoneurorizične djece sa strabizmom. Ispitati da li se tijekom dvanaest godina praćenja prijevremeno rođenog visokoneurorizičnog djeteta sa strabizmom uspostavlja stabilnost kuta škiljenja. Odrediti optimalno vrijeme i opravdanost operacijskog liječenja prijevremeno rođene visokoneurorizične djece sa strabizmom s obzirom na postignutu stabilnost kuta škiljenja. Materijali i metode: U retrospektivnom istraživanju obuhvaćena je skupina visokoneurorizične prematurne djece sa strabizmom rođene 2003. godine koja su se kontrolirala u Ambulanti za ortopleotiku Klinike za očne bolesti Kliničkog bolničkog centra Split. Statistički su obrađeni podatci o kutu škiljenja iz kartona ispitanika praćenih od 2005. do 2016. godine. Kut škiljenja određen je pri prvom mjerenju 2005. godine prizma testom, a na kasnijim mjerenjima (od 2006. do 2016. godine) na sinoptoforu. Svi ispitanici koji su uključeni u praćenje provodili su jednaku i isključivo konzervativnu terapiju, bez kirurškog liječenja strabizma. Rezultati: Jedanaestero prijevremeno rođene djece gestacijske dobi od 30 do 34 tjedna s neurorazvojnim odstupanjima i strabizmom oba spola praćeno je tijekom dvanaest godina. U sedmero djece pri prvom mjerenju nađen je konvergentni strabizam (63,6%), dok je četvero preostale djece imalo divergentni strabizam (36,4%). Kod sve praćene djece zabilježena je statistički značajna korelacija izmjerenog kuta škiljenja s vremenom praćenja, pri čemu je u djece s početnim konvergentnim strabizmom ta korelacija bila negativna, a u djece s početnim divergentnim strabizmom pozitivna. Friedmanovom analizom varijance utvrđena je statistička značajnost razlike medijana kuta škiljenja tijekom dvanaest godina praćenja, kako u djece s početnim divergentnim, tako i u djece s početnim konvergentnim strabizmom. Zaključak: Prijevremeno rođena visokoneurorizična djeca sa strabizmom koja se konzervativno liječe imaju značajno promjenjiv kut škiljenja u razdoblju djetinjstva, tj. od druge do trinaeste godine života. Tijekom dvanaest godina praćenja u ovom radu nije se utvrdila stabilnost kuta škiljenja u te djece. Zbog promjenjivosti kuta škiljenja u ovom istraživanju nije se moglo utvrditi optimalno vrijeme ni opravdanost operacijskog zahvata u korekciji strabizma prematurne visokoneurorizične djece.
Abstract (english)
Objective: To determine variability of strabismus angle in premature children at high neurological risk. To analyse if those children establish a stability of strabismus angle during the twelve years follow-up. To assess optimal timing and rationality of strabismus surgical treatment in relation to the achieved stability of strabismus angle in premature children at high neurological risk. Materials and methods: In this retrospective study premature children at high neurological risk born in 2003 were followed up during 2005 until 2016. The children were ophthalmologically controlled at the Laboratory for orthopleopthic of the Eye Clinic at the University Hospital of Split. Data regrading angle of strabismus were taken from patients’ charts and statistically analysed. The first measurement was done in 2005 using prisma test, while from 2006 until 2016 a synoptophore was used. All children included in the study were treated with equal and conservative approach, without surgical procedures. Results: Eleven premature children with gestational age 30 to 34 weeks, neurological disorders and strabismus of both sexes were followed up during twelve years. In seven out of eleven children (63.6%) initial esotropia was found, while four children had initially exotropia (36.4%). In all of them, a statistically significant correlation was found between the angle of strabismus and the year of follow up. In children with initial esotropia, the correlation was negative, while in those with initial exotropia it was positive. Friedman analysis of variance showed statistically significant differences in medians of strabismus angle during the twelve years follow-up in children with initial esotropia, as well as in those with initial exotropia. Conclusion: Premature children at high neurological risk and strabismus have statistically significant variability in strabismus angle during childhood, ie. from second until thirteen year of life. During the twelve years follow-up of those children no stability in strabismus angle was established. Because of this variability in strabismus angle, we could not determine optimal timing or rationality for strabismus surgery in premature children at high neurological risk.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:171:422739
Study programmeTitle: Medicina
Study programme type: sveučilišni
Study level: integrirani preddiplomski i diplomski
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
RepositoryMEFST Repository
Created on2017-11-06 11:52:31