Bacterial conjunctivitis is a common condition in paediatric ophthalmology. Incidence and symptoms depend on etiological factor, clinical presentation and age. The most common pathogens which cause bacterial conjunctivitis are: Staphylococcus aureus, Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis etc. Conjunctivitis is treated empirically in most cases, the treatment is defined by symptoms and clinical findings, physician prescribes the available antibiotic treatment. Eye swab is indicated in cases of prolonged or non efficient treatment or in case of relapse. Goals: To evaluate bacterial conjunctivitis according to microbial pathogen detected in eye swab, the most common microbial pathogens found and drug susceptibility of antimicrobial agents given in antibiogram. Methods: We retrospectively evaluated 73 microbiological findings of eye swabs in 53 children between January 2019 and March 2020. The sample was cultured on blood and chocolate Gram staining agar incubated under 5-10% CO2, 35-37˚C with daily reading 40-48h. Bacteria collected from eye swabs were tested for the following antibiotics: chloramphenicol, ciprofloxacin, gentamicin, moxifloxacin, ofloxacin, trimethoprim/sulfamethoxazole, tetracycline, erythromycin, ampicillin, azithromycin, amoxicillin, clindamycin and penicillin. Results: In a total of 53 patients eye swabs were taken, 23(43,39%) male and 30(56,60%) female, age ranged from 0-17 (mean age 32,3±52,3 months or 2,7±4,4 years) most common patient age was 2 years in 40(75,5%) cases. Number of performed eye swabs was 73, and pathogens were isolated in 70(95,9%) cases, and only in 3(4,1%) cases there were no pathogens in eye swab, meaning that indication for eye swab was highly justified. Among isolated pathogens, Staphylococcus aureus was proved to be the most common, in  20(27,4%) cases, the antibiotic  with highest drug susceptibility was chloramphenicol in 33(62,3%) cases. Conclusion: Microbiological evaluation of bacterial conjunctivitis is reasonable in moderate to severe cases associated with mucopurulent discharge, prolonged treatment, and as confirmation of diagnosis. Choosing the accurate antibiotic therapy requires identification of pathogen and assessing its susceptibility. Targeted treatment reduces risk of antibiotic overdosing or unnecessary use of antibiotics. Prudent use of antibiotics reduces antimicrobial resistance. 

Background Purpose . Adults as well as children may have problems with strabismus, which can significantly affects on quality of social and professional life. Strabismus surgery in adults are not conditioned for years of a patient, and the main goal of this kind of surgery is to improve motoric-senzorial relationship of eyes, and to improve esthetic moment of a patient. PatientsM adult, strabismus, success, surgery

Aim To evaluate the frequency of refractive errors in premature children in retinopathy of prematurity (ROP) screening to find mutual connection of the prematurity level, disease activity and refractive errors. Methods A retrospective study was conducted in the Eye Clinic of the University Clinical Centre Sarajevo, between December 2013 and January 2017. A total of 126 patients of gestational age ≤ 34 weeks and birth weight ≤ 2000 g underwent ROP screening program. The patients were divided into three groups: patients without ROP (n=15), patients with spontaneous regression (n=106) and those with active form of ROP (n=5). Results There were 68 (54.0%) patients with refractive errors: 45 (35.7%) had hyperopia, 17 (13.5%) myopia and six (4.8%) astigmatism. There were three (60.0%) patients with an active form of ROP who had refractive errors: two (40.0%) had myopia and one (20.0%) hyperopia. The group without active ROP had hyperopia as most frequent refractive error, with 10 (66.7%) patients. The average birth weight of the patients without refractive errors was 1403.9±43.4 g compared to 1390.3±104.2 g of the patients with refractive errors (p=0.498). The average gestational age was 29.7±0.3 weeks in patients without and 29.0 ± 0.3 weeks in patients with refractive errors (p=0.126). Conclusion The birth weight and the gestational age were significantly lower in patients with the active form of ROP. Lower gestational age and birth weight of premature children increase the chance for the development of refractive errors such as hyperopia in all premature children and myopia in patients with active form of ROP.

Background: necrotizing enterocolitis is a serious condition that affects mostly preterm infants, with high mortality rate. Aim: to estimate the influence of potentially contributing factors of this multifactorial disease. Methods: the study group included 51 necrotizing enterocolitis infants who were less than 37 week gestation who were hospitalized in NICU during a five year period. The control group consisted of 71 patients with approximately the same gestational age and birth weight. Average gestational age in the study group was 30.2 weeks (SD 3.7), average birth weight 1502g (SD 781.5). Average postnatal age in the time of the presenting NEC was 18.2 days (SD 12.8). Results: Logistic regression estimates the influence of risk factors, which in our study related to the treatment of preterm infants on the likelihood of NEC development. Our regression model consisted of seven independent variables (nosocomial infections, mechanical ventilation, nasal continuous positive pressure, morphine, inotropes, blood transfusions, and H2 blockers), which were shown to have a statistically significant impact, X2 (7, n=1222) = 49.522, p<0.0001; two independent variables (nosocomial infection and H2 blockers use) were statistically significant. Preterm infants with nosocomial infection had a three times greater chance of developing NEC, and infants who received H2 blockers had a 1.5 higher risk. Conclusions: Underlying pathology of very low birth weight infants and their treatment in NICU contribute to NEC development. Identifying risk factors can be crucial for the early diagnosis and outcome of disease. Awareness of risk factors should influence changes in practice to reduce the risk of NEC.

Introduction: Retinopathy of Prematurity (ROP) represent disease of the eye in premature born children which affects immature blood vessels of the retina during their development. The emergence of retinopathy of prematurity depends on the interaction of multiple factors, such as: gestational age, low birth weight, hypoxia, duration of oxygen supplementation, respiratory distress syndrome, twin pregnancy, anemia, blood transfusions, sepsis, intraventricular hemorrhage, hypotension, hypothermia, etc. If remain unrecognized and untreated it can cause severe visual impairment and blindness in children, but can also be prevented with timely screening. Goals: To establish the number of patients with development of retinopathy of prematurity active forms in the observed time period and examine which risk factors have most significant impact on its origin. Material and methods: In a clinical, retrospective study we observed a total of 80 premature born children in the period from January to May 2015 with regard to listed risk factors identified for eye examination. Results: From a total of 80 premature newborns sample included 48.8% male and 51.2% female children. The active form of ROP developed in 6.2% of cases, while in 93.8% of cases there was a spontaneous resolution. Patients who developed active form of ROP have significantly younger gestational age (26.4±1.5 weeks) and lower birth weight (874±181 grams), lower Apgar score in the first and fifth minute and were longer on oxygen therapy (20±3.4 days). Conclusion: Of the potential risk factors that could affect the development of ROP active form following factors have a statistically significant influence: early gestational age, low birth weight, lower Apgar score and prolonged oxygen therapy (p <0.05).

Introduction: Inferior oblique overaction (IOOA) can be primary or secondary, isolated or combined to other types of horizontal deviation, mostly with esotropias. Surgical weakening of IOOA means several techniques like; recession, myotomy, myectomy, anteroposition etc. Goals: we analyzed the effect of inferior oblique muscle surgical weakening comparing two groups of patients with primary hypertropia. Material and methods: In 5-years retrospective study, we observed 33 patients on which we did the surgical procedure of weakening inferior muscle overaction by two methods; recession and myotomy. Results: In total number of 33 patients, there were 57,6% male and 42,4% female patients with average age of 10,6±7,5 (in range of 4–36). There was 33,3% of isolated primary hypertropias, and 66,7% combined with esotropias. At 23 (69,9%) patients the recession surgical procedure was done, and with 10 (30,1%) myotomy. Better effect and binocularity was in 65,2% of patients in recession group which was statistically significant with significance level of p<0,0, χ2=5,705; p=0,021. Conclusion: Comparing of two surgical procedures of weakening inferior oblique muscles overaction, recession is better procedure than myotomy.