非渗出性萎缩性(地理性)老年性黄斑变性患者应用扩展复合眼神经刺激的经验

A. K. Drakon, N. Korchazhkina, Vycheslav M. Sheludchenko
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引用次数: 1

摘要

背景:非渗出性萎缩性(地理性)视网膜黄斑变性是老年人中心视力不可逆丧失的原因之一。它的发生频率随着年龄的增长而增加。目的:评价扩展复合眼神经刺激治疗非渗出性萎缩性(地理性)型老年性黄斑变性的疗效。材料与方法:选取平均年龄741.7岁的地理性视网膜萎缩患者49例(98只眼),分为2组:集团1 - 24例(48眼)71.01.8岁接受延长ophthalmoneurostimulation复杂,包括鼻内的电泳过程中维生素B12(10日常程序的课程),transocular红外线刺激(10日常程序的课程),氧气疗法与Heliox-21呼吸混合物(10日常程序的课程),和针灸治疗一个疗程(10日常程序),和组2 - 25例(50眼)年龄751.1岁,根据现有的眼科标准,接受了一个疗程的维生素保守治疗,这是第一组的背景。评估视力(视力)、光学相干断层扫描指标、光学相干断层扫描视网膜血管造影功能、局部光敏性、视网膜自身荧光和视网膜模式电图生物电势。研究分别在治疗前、治疗后2周、3个月、6个月和12个月进行。结果:在整个观察期间,高分辨率视网膜的视力和解剖参数(中央区厚度和脉络膜厚度)没有变化。光敏性分析显示,当处方扩展的眼神经刺激复合物时,视网膜光敏性的平均阈值显着正常化。结论:延长疗程的物理治疗可明显减轻中央视野功能压抑,与视网膜色素上皮萎缩灶相协调。最有可能的是,这种积极的影响是由于激活了视网膜的神经节和双极层的水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience of use of the extended complex of ophthalmononeurostimulation in patients with non-exudative atrophic (geographic) form of age-of-aged macular degeneration
BACKGROUND: Non-exudative atrophic (geographic) macular degeneration of the retina is one of the causes of irreversible loss of central vision in the elderly. Its frequency of occurrence increases with age. AIM: to evaluate the effectiveness of the extended complex of ophthalmoneurostimulation in patients with non-exudative atrophic (geographical) form of age-related macular degeneration. MATERIAL AND METHODS: The study included 49 people (98 eyes) with geographic retinal atrophy, whose average age was 741.7 years, who were divided into 2 groups: group 1 ― 24 patients (48 eyes) aged 71.01.8 years, who underwent an extended complex of ophthalmoneurostimulation, including a course of endonasal electrophoresis of vitamin B12 (for a course of 10 daily procedures), transocular infrared stimulation (for a course of 10 daily procedures), oxygen therapy with Heliox-21 breathing mixture (for a course of 10 daily procedures), and acupuncture (for a course of 10 daily procedures), and group 2 ― 25 patients (50 eyes) aged 751.1 years, who underwent a course of conservative treatment with vitamins according to existing ophthalmological standards, which served as a background in group 1. Visual acuity was assessed (visual acuity), indicators of optical coherence tomography and optical coherence tomography with angiography function of the retina, local photosensitivity, autofluorescence of the retina and bioelectric potential in pattern-electroretinography. Studies were performed before therapy, after 2 weeks, 3 months, 6 months, and 12 months, after a course of treatment. RESULTS: Visual acuity and anatomical parameters of the retina in high resolution (thickness of the central zone and the thickness of the choroid) did not change during the entire observation period. Analysis of light sensitivity showed a significant normalization of the average threshold of retinal photosensitivity when prescribing an extended complex of ophthalmoneurostimulation. CONCLUSION: Conducted extended course of physiotherapy significantly reduced the functional depression of the central visual field, coordinating with foci of retinal pigment epithelium atrophy. Most likely, this positive effect was achieved due to the activation of the level of the ganglionic and bipolar layers of the retina.
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