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Тактика врача-офтальмолога при выборе комплексного лечения привычно-избыточного напряжения аккомодации на основе анализа динамики цветоощущения

Тактика врача-офтальмолога при выборе комплексного лечения привычно-избыточного напряжения аккомодации на основе анализа динамики цветоощущения

Abstract

The analysis of colour perception is one of the most informative functional tests for the evaluation of the quality of the treatment. It has demonstrated the improvement of the general clinical and ophthalmological characteristics as well as colour perception in 36 patients of the clinical group 1A. The improvement of the general clinical characteristics after the combined treatment was documented in 32 patients comprising the clinical group 1B. However, the results of the Farnsworth-Munsell 100 Hue (FM-100) test suggest the impairment of colour vision in the latter group, probably due to the application of colour light stimulation in the patients making up this group. Our studies show that the use of colourand photostimulation may adversely affect the binocular accommodation response and the habitual accommodation tone which exerts the negative effect on dynamics of colour perception as a result of habitual accommodation overstrain. To-day, the problem of refractive errors is at the forefront of pediatric ophthalmology. However, it is not always possible to adequately estimate the functional reserves of the visual analyzer in such patients. The functional tests based on self-analysis, such as FM-100, make it possible to follow up dynamics of the loss of the functional reserves of the retina and the optic nerve associated with different forms of refraction abnormalities and thereby to forecast the possible loss of the visual functions.

Анализ цветоощущения является одним из важных функциональных тестов для оценки динамики лечения. В клинической группе 1А (36 пациентов), помимо улучшения общеклинических офтальмологических показателей, зарегистрировано улучшение состояния цветовосприятия. В клинической группе 1Б (32 пациента) после проведенного комплекса лечения отмечено улучшение общеклинических данных. Однако результаты проведенного теста FM100 свидетельствуют об ухудшении состояния цветового зрения, что вероятно связано с применением цветоритмтерапии у пациентов данной группы. В наших исследованиях показано, что использование цветои светостимуляции может неблагоприятно сказываться на бинокулярный аккомодационный ответ и привычный тонус аккомодации, что в результате при привычноизбыточном напряжении аккомодации оказывает отрицательный эффект на динамику цветоощущения. На сегодняшний день проблема нарушений рефракции у детей находится на первом плане. Однако не всегда удается адекватно оценить функциональные резервы зрительного анализатора у таких пациентов. Функциональные тесты на основе самоанализа, такие как FM 100, позволяют отслеживать динамику утраты функциональных резервов сетчатки и зрительного нерва при различных видах аномалий рефракции, то есть фактически определять прогноз возможной утраты зрительных функций.

Keywords

ПРИВЫЧНО-ИЗБЫТОЧНОЕ НАПРЯЖЕНИЕ АККОМОДАЦИИ, ЦВЕТООЩУЩЕНИЕ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold