Oftalmol Zh.2014;4:29-33
https://doi.org/10.31288/oftalmolzh201442933
Effectiveness of treatment of disbinocular amblyopia in children by a new method of alternating photostimulation of the eyes and by a traditional complex method
Ivanova T. V., Koktushev I. V., Goncharenko E. B.
Donetsk children's clinical Hospital № 1; Donetsk National Medical University named after M. Gorky; Municipal hospital N20, children's eye department; Donetsk (Ukraine)
Urgency. Disturbance of binocular vision leads to complicated functional restructure of all binocular system and is manifested by different kinds of amblyopia, disorder of sensor and optomotor fusion reflexes, squint. The drawbacks of the most wide-spread used methods of pleoptics include the fact that stimulation of
Purpose. To investigate effectiveness of treatment of disbinocular amblyopia by the method of alternatingphotostimulation of the corresponding fields in the retinas by figured polystructural patterns as a method of bifixation restoration and its comparison with results obtained after treatment with a traditional complex method. the retina is directed at restoration of the dysfunction of the mononuclear selective canals and, as a rule, does not give orthoptic effect — restoration of the binocular vision. At present a search of new methods is made to combine stages of pleoptics and orthoptics during one therapeutic procedure.
Materials and methods. Treatment with a new method of alternating photostimulation of the corresponding fields in the retinas by structured patterns was given to 30 patients with disbinocular amblyopia aged 3—16. The control group of children with disbinocular amblyopia was treated by the traditional complex method including 31 children.
Results. It is shown that alternating influence on the corresponding fields in the retinas by structured patterns allows to improve effectiveness of the pleoptic treatment, which is confirmed by increased ability of the visual analyzer from 0.84 to 0.93 (by 0.09—10.7 % according to the criteria of increased visual acuity of the dominant eye; from 0.6 to 0.79 (by 0.17—25 %) in the paired eye; while in the controls treated by a complex method visual acuity of the dominant eye increased from 0.85 to 0.93 (by 0.08—9.4 %) and from 0.55 to 0.68 (by 0.13—23.6 %)in the paired eye. The number of patients with visual acuity of the paired eye >0.8 after treatment increased by 36.6 %, after treatment with a complex method — by 19.36 %. It is proved that the application of that alternating influence on the corresponding fields in the retinas by structured patterns leads to restoration of the binocular vision in 60 % of cases while in treatment of patients with disbinolucar amblyopia by the complex method this index is noted only in 38.7 % of cases.
Conclusions. The new technology of treatment of disbinolucar amblyopia and restoration of the binocular vision allows to simplify the approach to treatment of such make it available to be used both in specialized rooms of children's vision protection and in home conditions.
Key words: Bimblyopia binocular vision, correspondence in retinas
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