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[Comparative evaluation of the effectiveness of various treatment modalities for accommodation disorders and acquired progressive myopia].

AbstractOBJECTIVE:
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).
AuthorsE P Tarutta, N A Tarasova
JournalVestnik oftalmologii (Vestn Oftalmol) 2015 Jan-Feb Vol. 131 Issue 1 Pg. 24-29 ISSN: 0042-465X [Print] Russia (Federation)
PMID25872383 (Publication Type: Comparative Study, English Abstract, Journal Article)
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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