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The purpose of our study was to analyze the effectiveness of the use of Fresnel prisms for various disorders of the eye movement.Material and methods. The studied group included 40 patients with prismatic correction and was divided into 2 groups of patients depending on the type of strabismus: 25 patients with incomitant strabismus, 15 patients with comitant strabismus. Elastic Fresnel prisms (EFP) were chosen and prescribed for prismatic correction. The patients were under dynamic monitoring under conditions of continuous use of EFP and positional trainings were performed if necessary (when doubling wasn’t completely compensated by EFP). The study had a prospective character.Results and its discussion. The prismatic correction made it possible to eliminate diplopia in direct gaze position and peripheral gaze directions in all 25 patients with paretic strabismus. In 18 out of 20 cases, the prismatic correction allowed to achieve functional recovery without subsequent chemorecession or surgical treatment. In 8 patients with comitant strabismus after the first stage of surgical treatment with stable deviation, binocular vision was formed under natural conditions. In 1 year, dynamic prismatic correction contributed to the recovery of 7 patients without surgical treatment with orthophoria in vivo.Conclusion. Prismatic correction of diplopia as an independent or additional functional method of treatment contributes to the achievement of the comitance of the eye muscles.

Purpose – to analyze the effectiveness of the algorithm used to monitor and treat premature infants. Material and methods. 903 premature babies were under the supervision of ophthalmologists from our clinic over the past 4 years (2014–2017). Retinopathy of prematurity was revealed in 302 patients. The laser photocoagulation was required in 78 cases. Repeated interventions were performed in 13 patients. Induced regression of the disease occurred in 72 children. The development of the 4–5 stage of the active phase of retinopathy of prematurity occurred in 6 patients. In 4 cases, the development of the 4–5 stage of the active phase of retinopathy of prematurity occurred in the case of posterior aggressive retinopathy. Results and discussion. The teamwork of ophthalmologists and neonatologists, timely and complete examination, reveals early signs of retinopathy of prematurity. Timely laser photocoagulation reduces the risk of disability, development of blindness and low vision. Reducing the number of laser photocoagulation carried out with an unchanged number of examinations, a low number of patients with terminal stages of the disease testify to the high effectiveness of monitoring and treatment of children with retinopathy of prematurity.