YU.I.PERFILIEV, I.P.SHOURYGINAYU.I.PERFILIEV, I.P.SHOURYGINA

YU.YU.STAROVOITOVYU.YU.STAROVOITOV, M.K. , M.K. SHOURYGINASHOURYGINA

YU.I.PERFILIEV, I.P.SHOURYGINAYU.I.PERFILIEV, I.P.SHOURYGINA

YU.YU.STAROVOITOVYU.YU.STAROVOITOV, M.K. , M.K. SHOURYGINASHOURYGINA

SCENAR-THERAPY OF MYOPIA IN SCENAR-THERAPY OF MYOPIA IN

SCHOOLCHILDREN WITH SCHOOLCHILDREN WITH

EXTRAOCULAR PATHOLOGYEXTRAOCULAR PATHOLOGY

SCENAR-THERAPY OF MYOPIA IN SCENAR-THERAPY OF MYOPIA IN

SCHOOLCHILDREN WITH SCHOOLCHILDREN WITH

EXTRAOCULAR PATHOLOGYEXTRAOCULAR PATHOLOGY

DEPARTMENT OF PEDIATRICSDEPARTMENT OF PEDIATRICS №4 №4DEPARTMENT OF OCULAR DISEASESDEPARTMENT OF OCULAR DISEASES №2 №2ROSTOV STATE MEDICAL UNIVERSITYROSTOV STATE MEDICAL UNIVERSITY

DEPARTMENT OF PEDIATRICSDEPARTMENT OF PEDIATRICS №4 №4DEPARTMENT OF OCULAR DISEASESDEPARTMENT OF OCULAR DISEASES №2 №2ROSTOV STATE MEDICAL UNIVERSITYROSTOV STATE MEDICAL UNIVERSITY

Background

Different eye pathologies are one of the most

widespread diseases among children and

adults, with the prevalence from

Different eye pathologies are one of the most

widespread diseases among children and

adults, with the prevalence from

In different regions of Russia the prevalence of

myopia among children is

In different regions of Russia the prevalence of

myopia among children is

29 to 57%29 to 57%

20-80.7%20-80.7%

Background

Commonly myopia develops when the body

is weaked as a result of a pathology in

vertebrobasilar vessel bloodflow , ANS

abnormality, as well as chronic infectious,

vegetative and cardiac disease.

Commonly myopia develops when the body

is weaked as a result of a pathology in

vertebrobasilar vessel bloodflow , ANS

abnormality, as well as chronic infectious,

vegetative and cardiac disease.

Background

SCENAR-therapy is a brand new concept in the

Rehabilitation Ophthalmology. It simultaneously

influences compensatory-adaptive mechanisms

of the vision system and general well-being.

SCENAR-therapy is a brand new concept in the

Rehabilitation Ophthalmology. It simultaneously

influences compensatory-adaptive mechanisms

of the vision system and general well-being.

Improvement of microcirculation in orbital and vertebrobasilar systems makes a morphofunctional basis for antihypoxic action, stimulation of metabolic and redox processes in visual organ and brain, as well as reflex-relaxing effect of the physiotherapeutic method.

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 Children’s Hospital.

Positive therapeutic effect is provided both by local reflex mechanisms and by general response of the body to the external stimulation.

Stimulation was applied on peripheral zones that have biologically active Stimulation was applied on peripheral zones that have biologically active points of the Chinese meridians associated with the mechanisms that points of the Chinese meridians associated with the mechanisms that regulate adaptation of the visual system to longtime visual work. regulate adaptation of the visual system to longtime visual work.

Local effects of pulse current manifest themselves as activated blood Local effects of pulse current manifest themselves as activated blood microcirculation and improved tissue trophism not only locally in the zone of 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 influence, but also in the eyeball (as it is the organ corresponding with this skin area) on the principle of dermatovisceral reflex. skin area) on the principle of dermatovisceral reflex.

Dopplerographic data proved normalization and/or prevention of Dopplerographic data proved normalization and/or prevention of circulatory hypoxia in nearsighted children with complicated somatic circulatory hypoxia in nearsighted children with complicated somatic pathology. pathology.

Collar Zone Periorbital Zone

Midpoint of each eyebrow (VT6)

0.3 cm inwards from the nasal edge of the eye (V1)

Internal point of eyebrow (V2)

External edge of an eyebrow, in the recess that corresponds to the lateral edge of the maxillary process of frontal bone (TR23)

0.5 cm outwards from the tail of the eye, corresponds to the outer edge of eye orbit (VB1)

Center of the lower eyelid (Е1)

1 cm downwards from the lower eyelid, corresponds to the infraorbital foramen (Е2)

Identification of a concomitant somatic pathologyIdentification of a concomitant somatic pathologyIdentification of a concomitant somatic pathologyIdentification of a concomitant somatic pathology

Research Methods

Identification of a burdened family backgroundIdentification of a burdened family backgroundIdentification of a burdened family backgroundIdentification of a burdened family background

Measurement of the acuteness of form vision (distant and Measurement of the acuteness of form vision (distant and near)near)Measurement of the acuteness of form vision (distant and Measurement of the acuteness of form vision (distant and near)near)RefractometryRefractometry RefractometryRefractometry Dopplerography (diagnostics of orbital bloodflow)Dopplerography (diagnostics of orbital bloodflow)Dopplerography (diagnostics of orbital bloodflow)Dopplerography (diagnostics of orbital bloodflow)

Ophthalmoscopy (examination of the back part of the eyeballOphthalmoscopy (examination of the back part of the eyeball))Ophthalmoscopy (examination of the back part of the eyeballOphthalmoscopy (examination of the back part of the eyeball))

RheoencephalographyRheoencephalography ( (clinical method used to investigate the clinical method used to investigate the blood supply to the human brainblood supply to the human brain))RheoencephalographyRheoencephalography ( (clinical method used to investigate the clinical method used to investigate the blood supply to the human brainblood supply to the human brain))

EchobiometricsEchobiometrics ( (analysis of myopia progressionanalysis of myopia progression))EchobiometricsEchobiometrics ( (analysis of myopia progressionanalysis of myopia progression))

Treatment was given at the Eye Health Care Office and Eye Department of Treatment was given at the Eye Health Care Office and Eye Department of the District Children’s Hospital.the District Children’s Hospital.Treatment was given at the Eye Health Care Office and Eye Department of Treatment was given at the Eye Health Care Office and Eye Department of the District Children’s Hospital.the District Children’s Hospital.

75 children aged 7 to 1675 children aged 7 to 1675 children aged 7 to 1675 children aged 7 to 16

Rate of somatic diseases among school-aged children with complicated myopia

Clinical Profile of Clinical Profile of PatientsPatients

Clinical Profile of Clinical Profile of PatientsPatients

16%

9,5%9,5%

68%

11%11%15%15%

Intestinal Intestinal diseasesdiseasesIntestinal Intestinal diseasesdiseases

Other disordersOther disordersOther disordersOther disorders

Incorrect postureIncorrect posture Neuro-circulatory dystonia

Neuro-circulatory dystonia

Nose Nose conditionsconditions

Nose Nose conditionsconditions

610

84

4

26

70

8

70

22

0%

20%

40%

60%

80%

100%

I II III

8

30

62

6

34

60

10

70

20

0%

20%

40%

60%

80%

100%

I II III

Changes in visual acuity without corrective lenses

6

94

8

92

4

96

0%

20%

40%

60%

80%

100%

I II III

Low visual acuity (<0.1-0.3)Comfortable visual acuity (0.4-0.6)High visual acuity(0.7 and higher)

Before treatment

After treatment

In a year

Group I - conventional management

Group II – monotherapy with SCENAR

Group III – multiple treatment + SCENAR-therapy

Groups

Orbital bloodflow

Resistance index of orbital artery

50

50

40

60

45

55

0%

20%

40%

60%

80%

100%

I II III

Before treatment

After treatment In a year

55

45

70

30

100

0%

20%

40%

60%

80%

100%

I II III

50

50

40

60

100

0%

20%

40%

60%

80%

100%

I II III

normabove norm

Group I – conventional therapyGroup II – monotherapy with SCENARGroup III– multiple treatment + SCENAR-therapy

10

90

12

88

9

91

0%

20%

40%

60%

80%

100%

I II III

50

50

70

30

100

0%

20%

40%

60%

80%

100%

I II III5

95

50

50

100

0%

20%

40%

60%

80%

100%

I II III

normbelow norm

Orbital bloodflow

Mean bloodflow rate in orbital artery

Before treatment After treatment In a year

Groups

Group I – conventional therapyGroup II – monotherapy with SCENARGroup III– multiple treatment + SCENAR-therapy

Cerebral hemodynamic

Vertebral artery system

50

50

45

55

50

50

0%

20%

40%

60%

80%

100%

I II III

Before treatment After treatment In a year

40

60

70

30

100

0%

20%

40%

60%

80%

100%

I II III

45

55

50

50

100

0%

20%

40%

60%

80%

100%

I II III

Peripheral resistance index

Group I – conventional therapyGroup II – monotherapy with SCENARGroup III– multiple treatment + SCENAR-therapy

normabove norm

Cerebral hemodynamic

Vertebral artery system

25

75

35

65

30

70

0%

20%

40%

60%

80%

100%

I II III

Before treatment After treatment In a year

30

70

50

50

100

0%

20%

40%

60%

80%

100%

I II III

20

80

45

55

100

0%

20%

40%

60%

80%

100%

I II III

Group I – conventional therapyGroup II – monotherapy with SCENARGroup III– multiple treatment + SCENAR-therapy

normbelow norm

Rheographic index (RI)

Myopia progression after 12 months

Group I Group II Group III

StabilisationProgression

95%95% 75%75%

25%

30%30%

70%5%5%

SCENAR-therapy effectiveness in multiple

rehabilitation ophthalmological treatment:

1) Improved vision acuity to the visual comfort limits

in 78% children

2) Restored orbital bloodflow indices in 100% children

3) Corrected cerebral hemodynamic indices in the

vertevrobasilar system in 100% children

4) Stabilised myopia in 70% children

SCENAR-therapy effectiveness in multiple

rehabilitation ophthalmological treatment:

1) Improved vision acuity to the visual comfort limits

in 78% children

2) Restored orbital bloodflow indices in 100% children

3) Corrected cerebral hemodynamic indices in the

vertevrobasilar system in 100% children

4) Stabilised myopia in 70% children

Long-term effects (12 months later) of SCENAR-therapyLong-term effects (12 months later) of SCENAR-therapy

CONCLUSIONCONCLUSION

Complementing multiple rehabilitation Complementing multiple rehabilitation

ophthalmological treatment of myopia in ophthalmological treatment of myopia in

schoolchildren with extraocular pathology schoolchildren with extraocular pathology

improves functional potential and adaptive improves functional potential and adaptive

mechanisms of the visual organ to the visual mechanisms of the visual organ to the visual

load.load.

Complementing multiple rehabilitation Complementing multiple rehabilitation

ophthalmological treatment of myopia in ophthalmological treatment of myopia in

schoolchildren with extraocular pathology schoolchildren with extraocular pathology

improves functional potential and adaptive improves functional potential and adaptive

mechanisms of the visual organ to the visual mechanisms of the visual organ to the visual

load.load.

Thank you!Thank you!