YU'I'PERFILIEV, I'P'SHOURYGINA, - PowerPoint PPT Presentation

Title: YU'I'PERFILIEV, I'P'SHOURYGINA,


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SCENAR-THERAPY EFFECTIVENESS IN PREVENTING MYOPIA
AND STABILIZING ITS PROGRESSION
YU.I.PERFILIEV, I.P.SHOURYGINA, N.M.GALENKINA
DEPARTMENT OF PEDIATRICS ?4 DEPARTMENT OF OCULAR
DISEASES ?2 ROSTOV STATE MEDICAL UNIVERSITY
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Refraction abnormalities are the main cause of
eye disorders in schoolchildren today. The
prevalence of myopia among school-aged children
is 12 35. Degenerative myopia ranks second
among the causes of eye-related handicaps in
young adults. Its development is provided by the
following factors.
Background
children of myopic parents are frequently myopic.
Genetic predisposition
Primary weakness of accommodation
causes compensatory lengthening of sclera.
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Lead to false and subsequently true myopia. This
can be promoted by disorders of the autonomic
nervous system, which is actively involved in
accommodation, since the pupil sphincter and
Brucke's fibers are controlled by the
parasympathetic part, and the dilator muscle of
pupil and Ivanovs fibers by the sympathetic
part.
Unbalanced, strained accommodation and convergence
General health condition can contribute much to
myopia development. Such diseases as rheumatism,
arthritis, chronic tonsillitis exacerbation,
infectious hepatitis cause a general weakening of
conjunctive tissues in the whole body, including
the eye sclera. Such sclera extends readily,
causing myopia progression.
General health decline
Professional training, involving too long time in
front of video monitors too close to the eyes.
When the body development is not completed yet,
myopia develops easily and its progression
becomes persistent.
Unfavorable environment
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Electric pulse stimulation with SCENAR was
delivered once daily for 10 days.
SCENAR-therapy was given at the Eye Health Care
Office and Eye Department of the District
Childrens Hospital.
Improvement in microcirculation makes a
morphofunctional basis for antihypoxic and
anti-edema action, stimulation of metabolic and
redox processes as well as reflex-relaxing effect
of the method.
Stimulation was applied on peripheral zones that
have biologically active points of the Chinese
meridians associated with the functional state of
the accommodative apparatus of the eye and retina
electrogenesis.
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Collar Zone
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Periorbital Zone
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External edge of an eyebrow, in the recess that
corresponds to the lateral edge of the maxillary
process of frontal bone (TR23)
Midpoint of each eyebrow (VT6)
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Internal point of eyebrow (V2)
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0.5 cm outwards from the tail of the eye,
corresponds to the outer edge of eye orbit (VB1)
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0.3 cm inwards from the nasal edge of the eye (V1)
Center of the lower eyelid (?1)
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1 cm downwards from the lower eyelid, corresponds
to the infraorbital foramen (?2)
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1 ?? ?? ????????? ?? ??????? ???? ??????,
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In implementation () of the action, both local
reflex mechanisms and general response of the
body to the stimulation are involved.
Local effects of pulse current manifest
themselves as activated blood microcirculation
and improved tissue trophism not only locally in
the zone of influence but also in the eyeball (as
it is the organ corresponding with this skin
area) on the principle of dermatovisceral reflex.
Tonographic data proved normalization and/or
prevention of microcirculatory-circulatory
hypoxia in nearsighted children.
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Methods
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Identification of a concomitant somatic pathology
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Identification of burdened family background
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Visometry
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Refractometry
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Accommodation indices (accommodation reserve)
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Ophthalmoscopy (examination of the back part
(fundus) of the eye)
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Neurophysiological measurements
(electrophysiological study)
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Echobiometry (measuring the shape of the eyeball)
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Clinical Profile of Patients
65 children aged 7 to 15
Treatment was given at the Eye Health Care Office
and Eye Department of the District Childrens
Hospital.
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Clinical forms of eye pathology in the groups
under test
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Spasm of accommodation (pseudomyopia) ?????
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Mild and moderate myopia ?????? ?????? ? ???????
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Myopic astigmatism ??????????? ???????????
Severe myopia ?????? ??????? ???????
Eyestrain syndrome ??????? ??????????? ?????????
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12 months later ????? 12 ???.
Changes in visual acuity without corrective
lenses ??????? ?????? ??? ????????? ? ????????
Group I - conventional management I ??????
- ???????????? ???????
Group II monotherapy with SCENAR II ??????
??????????? ??????
Group III multiple treatment
SCENAR-therapy III ?????? ??????????? ???????
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Before ?? ???????
After ????? ???????
After ????? ???????
Before ?? ???????
12 months later ????? 12 ???.
Before ?? ???????
After ????? ???????
12 months later ????? 12 ???.
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12 months later
Changes of Neurophysiological Indices ????????????
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Retinal Electrosensitivity
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Group I
Group II
Group III
I ??????
II ??????
III ??????
12 months later
after
after
after
12 months later
before
before
before
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Changes of Neurophysiological Indices ????????????
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Optic Nerve Electroliability
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Group I
Group II
Group III
I ??????
II ??????
III ??????
after
after
after
before
before
12 months later
12 months later
before
12 months later
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lt 45 ?? ? 45 ?? (?????)
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CHANGE OF ACCOMMODATION RESERVE ??????????
??????? ??????????? ? ????????
Group II
Group III
Group I
Accommodation Reserve no reserve (0 0.25
dioptres) low reserve (up to 1.5 dioptres) normal
reserve (3.0 dioptres and higher)
II ??????
III ??????
I ??????
65
75
70
Before treatment ?? ???????
25
35
30
Group II
Group I
Group III
II ??????
III ??????
I ??????
20
After treatment ????? ???????
34,5
5
80
10
70
0,5
15
65
Group II
Group I
Group III
II ??????
III ??????
I ??????
12 months later ????? 12 ???.
50
39,5
15
75
5
0,5
10
45
60
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????) ?????? (?? 1,5 ????) ????? (3,0 ???? ? ????)
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Myopia progression after 12 months
???????????????? ???????????? ????? 12 ???.
100
95
90
Group I
80
75
Group II
70
70
Group III
60
50
40
30
30
25
20
10

• 5

0
stabilization
progression
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Long-term effects (12 months later) of
SCENAR-therapy
Beneficial action of SCENAR in nearsighted
children

• In 78 children their vision acuity remained in
  the visual comfort limits

• Neurophysiological indices became normal in 100
  cases

• Functional state of the accommodative apparatus
  became normal in 60

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• ?????????? ? 78 ????? ??????? ?????? ? ????
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• ???????????? ???????????????????? ??????????? ?
  100 ???????

• ???????????? ??????????????? ?????????
  ???????????????? ???????? ????? ? 60 ???????.

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CONCLUSION
Including SCENAR-therapy in the conventional
management prevents myopia in 80 cases and stops
myopia progression in 70.
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???????.
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Thank you!