The results of two-stage optico-functional rehabilitation of patients with refractive disorders and the risk of postoperative asthenopic syndrome after FemtoLASIK

Mushkova, I. A.; Митронина, М. Л.; Korniushina, T A; Майчук, Н. В.; Шамсетдинова, Л. Т.

doi:10.21516/2072-0076-2018-11-4-14-22

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Предлагается также диплоптическое лечение с использованием лазерного аппарата «Спекл-M» (НПП «Лазма», Россия) и увеличение фузионных резервов с помощью призменного компенсатора ОКП-20 («ТЕХНОАРГУС», Россия). Лечебный курс обеспечивает, по мнению авторов работы [57], эффективное восстановление нарушенной аккомодационной способности и бинокулярного взаимодействия, а также снижает риск возникновения астенопии.…”

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Modern aspects of diagnosis and treatment of subjective manifestations and accommodation disorders in patients — professional users of personal computers (systematic review)

Belikova,

Gatilov,

Ovechkin

et al. 2023

Russian Medicine

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A systematic review was performed in the RSCI and PubMed databases using the following keywords: Computer vision syndrome, Digital eye strain, Accommodation, Accommodative asthenopia, RTS, and Quality of life. Eligible articles were evaluated in accordance with the criteria for prospective or retrospective studies. A total of 792 sources were analyzed, further using systematic review filters and authors knowledge of the topic. The retrospective analysis spanned 7 years (20162022). Data indicated that accommodative asthenopia (AA), as a functional visual disorder, is a natural state of the accommodative system of the eye caused by long-term exposure to visually intense work on a personal computer. AA is characterized by a wide range of subjective manifestations (complaints) and indicators of the examination of the patients vision, associated primarily with objective accommodation. A differentiated approach to the diagnosis of various forms of AA, such as habitual excessive stress of accommodation and asthenic form of accommodative asthenopia, is important to provide adequate treatment based on methods with direct physical effects on the eye (such as low-energy laser radiation, magnetophoresis, and stimulation of accommodation), opto-reflex treatment, and an outpatient course as part of home training.

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Section: Additional Informationunclassified

Modern aspects of diagnosis and treatment of subjective manifestations and accommodation disorders in patients — professional users of personal computers (systematic review)

Belikova,

Gatilov,

Ovechkin

et al. 2023

Russian Medicine

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“…На основе ретроспективного анализа работы цилиарной мышцы и бинокулярного взаимодействия и выявленных предикторов риска развития ПА был предложен специально разработанный курс аппаратного лечения для снижения или устранения астенопии у пациентов с миопией средней и высокой степени после КРО, который показал высокую эффективность. Курс состоял из тренировки аккомодации с помощью аппарата «ОКСИС»; диплоптического лечения по методу «диссоциации» с использованием прибора «Спекл-М», стекол Баголини и положительных и отрицательных сферических линз; расширения фузионных резервов (ФР) с применением призматического офтальмокомпенсатора ОКП-20 (Россия) и лазерного спекла с длиной волны 650 нм («Спекл-М», (РФ)) [13,14,16].…”

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The Maintenance Algorithm of Patients with Myopia and the Risk of Asthenopia after Keratorefractive Surgery

et al. 2020

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Excimer Laser Correction of Myopia in Patients with Visually Intense Work — Is It Necessary to Determine the Form of Accommodative Asthenopia?

et al. 2023

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Рurpose — to study the frequency of occurrence of various forms of accommodative asthenopia (AA) in patients with visually stressful work (VSW) with different degrees of myopia planning LASIK.Methods. As part of the preoperative examination, 300 patients with VSW were under observation. There were three groups of equal age and gender, corresponding to weak (up to 3.0 diopters, 100 patients), moderate (3.25–6.0 diopters, 100 patients ) and high (6.25–8.0 diopters, 100 patients) degrees of myopia. All patients underwent objective accommodation using the Righton Speedy-I device (Japan) with further calculation of the coefficient of microfluctuations of the ciliary muscle of the eye (KMF). Diagnosis of the type of AA was carried out according to the following indicators: with KMF less than 53.0 rel. un. — asthenic form of accommodative asthenopia (AFAA), pathology; at KMF from 53.0 to 58.0 rel. — norm; at KMF more than 58.0 rel.un. — Habitual Excessive Tension of Accommodation (HETA), pathology.Results. The incidence of AA (any form) was 51–57 % and weakly depended on the degree of myopia. A significant increase (compared with the literature data) in patients with AA according to the results of this work is due to the following factors: the examination of patients exclusively with VSW, who daily perform professional visual activity at the time of the examination, as well as a wide (24–34 years) the age range of the subjects. The probability of occurrence of HETA and AFAA is quite comparable and amounted to 29–36 % and 21–23 %, respectively. The obtained results are illustrated by typical accomodograms. Conclusion: the high incidence of both forms of AA actualizes further research aimed at assessing the dynamics of the state of the accommodative system of the eye after excimer laser surgery for myopia, as well as the development of a method for correcting AA, taking into account a personalized approach that allows performing the correct diagnosis of various forms of AA (HETA, AFAA), which, ultimately, will provide adequate treatment from the position of choosing both the actual method (physical factor) and the required optical, amplitude and time parameters of exposure.

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The results of two-stage optico-functional rehabilitation of patients with refractive disorders and the risk of postoperative asthenopic syndrome after FemtoLASIK

Cited by 3 publications

References 4 publications

Modern aspects of diagnosis and treatment of subjective manifestations and accommodation disorders in patients — professional users of personal computers (systematic review)

Modern aspects of diagnosis and treatment of subjective manifestations and accommodation disorders in patients — professional users of personal computers (systematic review)

The Maintenance Algorithm of Patients with Myopia and the Risk of Asthenopia after Keratorefractive Surgery

Excimer Laser Correction of Myopia in Patients with Visually Intense Work — Is It Necessary to Determine the Form of Accommodative Asthenopia?

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