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The paper gives the comparative results of infrared exposure, drug and multimodality treatment in partial optic nerve atrophy of varying degrees, as evidenced by Doppler, electrophysiological, and morphometric studies.

The paper touches upon the specific features of the structure of orbital formations, by considering their anatomic topography and biophysical properties. By studying the results of investigations of the morphological and biophysical studies of orbital tissues, the authors analyze their features and compare their relationships. These results unraveling each of the considered orbital anatomic elements from the acoustic profile ranges may be useful in understanding the nature of clinical changes, which will be able to interpret these or those diagnostic signs--guides and to trace their evolution. In addition, this approach can help interpret the texture of an ultrasound digital image of eye socket soft tissue and permit one to look at pathological clinical manifestations from the so-called biophysical essence. This will allow additional information to be gleaned, by analyzing the usual signs.

The paper touches upon the specific features of the anatomic structure and biophysical properties of the whole eye and its individual structural elements. The Russian and foreign sources characterizing a wide range of the biological, biochemical, and physical properties of morphological elements constituting the eyeball are analyzed. The significance of individual analyzed characteristics for the formation of a three-dimensional ultrasound image is assessed.

Implant materials for orbital surgery are mainly used during orbital traumatic deformity-eliminating operations, postenucleation stump plasty, evisceration, and anophthalmic syndrome correction. There are currently a lot of biological and artificial implant materials, but there is no universal material to correct all types of defects and this makes surgeons use a great quantity of reparative procedures and techniques and scientists continue to search for more suitable implant materials. This paper reviews the currently available materials used in orbital surgery in Russia and foreign countries.

The paper describes a simplified calculation procedure for the volume of the osseous orbit. The use of correction factors allowed the authors to show the appropriateness of calculation of the volume of the osseous orbit from 4-6 fragments instead of 45-55 ones, as had been accepted. The presented volume characteristics of the orbit may be used in the differential diagnosis of false and true exophthalmos and in the planning of orbital operations.

The paper gives data of computed tomography in 100 patients (148 orbits) with edematous exophthalmos (lipogenic and mixed types). There is a relationship of the higher degree of exophthalmos to the increased orbital soft tissue contents. A procedure is described for the individual calculation of the amount of removed orbital fat during compressive operations, which considers both the individual features of the anatomic structure and existing exophthalmos.

The paper presents data on the prevalence and pattern of fragment injuries of the eye and orbit in the Sverdlovsk Region in 2000-2004. It describes the authors' system for complex diagnosis of metallic foreign bodies, which is based on the wide use of electron location in combination with other clinical, instrumental, and special studies. The comparative results of treating patients with the standard and proposed system, which demonstrate the advantages of the latter in small-sized fragments in particular, are given.

The paper deals with the examination of computed tomograms of 72 patients (90 orbits), including 29 males (36 orbits) and 43 females (54 orbits), who had no any orbital pathology. The patients' age ranged from 34 to 65 years. Data on the volume of the bony orbit and its soft tissue contents are given. The dimensions of the transversal opening to the orbit and its depth are shown. The volumes of all the ocular muscles (extraocular muscles, the elevator muscle of the upper eyelid), optic nerve, eyeball, and ocular fat are separately calculated. These indices may be used for both the differential diagnosis of true exophthalmos and pseudoexophthalmos and the planning of any orbital surgery.

The paper presents an algorithm of ultrasound spatial analysis of the unaltered lacrimal gland. The algorithm has been used to define its shape, size, density, structural features and the pattern of blood supply, as well as the anatomic and topographic position in the orbit. The study was conducted in the B- and 3D-modes of color and energy Doppler mapping on both sides. The procedure was based on the clinical examination of 40 healthy individuals aged 20 to 75 years who had no systemic vascular and lymphoid tissue lesions or functional impairments of the lacrimal gland itself. The study defined the mean values of the ultrasound section of the lacrimal gland: 1-1.8 and 0.5-0.8 cm for vertical and horizontal ones, respectively; the mean volume of the lacrimal gland of 0.66 to 1 cm(3) and the densitometric parameters (density and vasculogenicity index); three types of structural manifestations of the unaltered lacrimal gland were identified. The proposed algorithm of ultrasound study of the lacrimal gland may enhance the accuracy and validity of results in the differential diagnosis of various orbital diseases.

The paper analyzes complications due to 500 orbital plastic repairs for traumatic deformities. Biomaterials (cadaveric cartilage/bone, allograft for orbital wall plastic repair, or xenopericardium) were applied in all cases. The lost orbital volume was also compensated for by Carbotextim-M. Damage to the inferior oblique muscle was the severest intraoperative complication. The bulk of complications in the early postoperative period were transient and implant displacement in the late periods required its position correction only in 4% of cases. The implant displacement-associated risk factors were as follows: male sex, childhood, application of a solid material (cartilage, bone), and its attachment failure. Purulent processes were local and encountered in 2% of cases. The low incidence of severe complications, as well as permanently high functional and cosmetic outcomes (during as long as 98.2 months) suggest that biografting of the lower orbital wall is effective.

The paper analyzes the diagnostic value of computed tomography (CT) in posttraumatic lesion of the eye socket, ball, and appendage and identifies the basic groups of patients in whom CT is an essential study. In 2004, the Department of Traumatology, Reconstructive Surgery, and Eye Prosthesis, Helmholtz Research Institute of Eye Diseases, performed CT in 323 patients (18.2% of the inpatients and 3.4% of the outpatients). Analyzing all CT images identified the basic groups of patients in whom this study was essential. The CT scans characterizing examples from each group of patients are given. The studies could extend indications in patients with posttraumatic lesion of the eye and orbital area for CT. The latter is an important and essential study in patients with traumatic pathology of the eye with multiple and hard-to-reach foreign bodies and with trauma of the soft and osseous structures of the orbit, which makes it possible to determine not only the possibility, but also pattern and scope of a surgical intervention and to assess its long-term result.

The paper presents data on the diagnostic use of three-dimensional (3-D) ultrasound visualization, analyzes earlier existing and new ultrasound diagnostic technologies, and shows it expedient to apply them in ophthalmologic practice. A hundred and forty-six healthy individuals and 52 patients (60 eyes) with different diseases of the eye and orbital cavity (chorioidal melanoma, facial angiomatosis, retinal detachment, vitreoretinal changes, etc.) were examined. The results of the studies and the analysis of the data available in the literature on this problem allow the authors to state that 3-D ultrasound diagnostic technologies can detect occult masses undetectable during conventional visual and ultrasound studies and define the topography of the dislocation of structurally complicated changes in the tunics of the eyeball.