[Variants of pupillary blocks in children with congenital and early acquired uveitis]

Analysis of postuveal complications in 351 children of early age has shown that pupillary block of different type and degree develops in 43% of cases (226 of 526 eyes with uveitis) and more frequently after intrauterine uveitis. In 23.5% of cases, pupillary block is associated with glaucoma, in 44.2%--with normotonia, and in 32.3%--with hypotonia. A clinical and pathogenetic polymorphism of postuveal blocks is shown, three main types of combined pupillary blocks singled out, the connexion with the state of the vitreous body observed. On the basis of dynamic follow-up within 10 years and analysis of results after treatment of 85 eyes, a differential microsurgical approach to treatment is proposed. The usage of adequate surgical intervention allows to achieve a hypotensive and organ-preserving effect, to improve hydro- and hemodynamic indices and the functional state of the eye.