Abstract | OBJECTIVE: To evaluate the effectiveness of non-surgical treatment of accommodation disorders and progressive myopia in children. MATERIAL AND METHODS: A total of 190 patients (380 eyes) with myopia aged from 6 to 18 years (10.79±0.18 years on average) were enrolled and divided into 9 groups depending on the treatment prescribed. RESULTS: Comparative evaluation of different hardware-based treatment modalities for progressive myopia allowed to work out their optimal combination: "Visotronic", "MACDEL 09", and magnetophoresis of Taufon 4%. Such courses, provided twice a year, were associated with optimization of accommodative response and 1.9-2.8 times reduction of the rate of myopia progression. On the contrary, pleoptic therapy showed a negative effect on accommodative tonus and the rate of progression of acquired myopia. CONCLUSIONS: Comparative evaluation of different hardware-based treatment modalities for progressive myopia and accommodation disorders allowed to work out their optimal combination: "Visotronic", "MACDEL 09" and magnetophoresis of Taufon 4%. This treatment, provided twice a year, allows to increase accommodative reserves and volume, improve objective accommodative response, and reduce accommodative hypertonus as well as the rate of myopia progression (1.9-2.8 times over a 1.5-year period). Under pleoptic therapy (specialized software, near field speckles, color pulse therapy, Ambliokor device), both accommodative tonus and the rate of myopia progression increased (1.3-1.5 and 1.6 times correspondingly).
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Authors | E P Tarutta, N A Tarasova |
Journal | Vestnik oftalmologii
(Vestn Oftalmol)
2015 Jan-Feb
Vol. 131
Issue 1
Pg. 24-29
ISSN: 0042-465X [Print] Russia (Federation) |
PMID | 25872383
(Publication Type: Comparative Study, English Abstract, Journal Article)
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Topics |
- Accommodation, Ocular
(physiology)
- Adolescent
- Child
- Disease Progression
- Follow-Up Studies
- Humans
- Myopia
(physiopathology, therapy)
- Ocular Motility Disorders
(physiopathology, therapy)
- Orthoptics
(methods)
- Refraction, Ocular
(physiology)
- Time Factors
- Treatment Outcome
- Visual Acuity
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