RU2161465C1 - Method for increasing vision acuity - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves applying pressure from 5 to -5 kPa from the side of an eye of interest to the area bounded with the orbit during 3-30 min. The action is carried out using sinusoid law at 30-240 oscillations/min and amplitude to 10 kPa. EFFECT: improved venous discharge from the eyeball and orbit blood vessels; normalized intraocular fluid discharge. 3 cl, 5 dwg

Description

 The invention relates to medicine, namely to ophthalmology, and can be used to treat eye diseases, accompanied by a decrease in visual acuity.

 A known method for the treatment of eye diseases, used, for example, in glaucoma, in which they act directly in the drainage zone through the central part of the cornea. In this method, compression with a special device helps to squeeze moisture out of the anterior chamber of the eye (SU, 1463288).

 The known method requires expensive hardware design and due to contact during its implementation of the executive body of a special device with eye tissues, it is of little use in an outpatient setting.

 A known method of treating eye diseases, providing a combined effect on the eye tissue with vibration, electromagnetic radiation with a frequency from near infrared to ultraviolet, magnetic field, air flow, as well as exposure to biologically active points. The method allows to increase visual acuity, but also requires complex hardware implementation (RU, 2102951).

 Closest to the invention, the technical result achieved is a method of increasing visual acuity, in which the eye is exposed to pulsed vacuum with a frequency of 4 Hz, a duty cycle of 0.5, a negative pressure of 3 kPa for 8-12 minutes, a course of 10 days. Fluctuations in pressure help to improve the condition of the ciliary muscle, reduce intraocular pressure, increase the elasticity of the eyelids (RU, 2072816).

 The disadvantage of this method is its limited use only for the treatment of progressive myopia.

 The technical result achieved by the invention is to provide an effect adequate for diseases accompanied by a decrease in visual acuity.

 The essence of the invention is to achieve the mentioned technical result in a method of increasing visual acuity, characterized in that from the side of the interested eye in the area limited by the orbit, a pressure of +5 to -5 kPa is applied for 3-30 minutes, while the effect is sinusoidal law with a frequency of 30-240 vibrations per minute and an amplitude of up to 10 kPa.

 Preferred is a pressure of from -1 to -5 kPa.

 In addition, immediately before exposure to pressure on the eye or after it, sinusoidal pressure is applied for 3-30 minutes by pressure on the neck at the base of the skull and closer to the shoulders on both sides of the spine, and / or on the head from the crown of the head, and / or on the face directly under the eyes, and / or on the forehead directly above the eyes, and / or on the temples with parameters: pressure from +5 to -20 kPa, amplitude up to 25 kPa, frequency from 20 to 600 vibrations per minute.

 The invention is illustrated by drawings, where in FIG. 1 schematically shows a diagram of the application of pressure during the implementation of the method, FIG. 2 is a block diagram of a device for implementing the method, FIG. 3 - applicator glasses, FIG. 4 - glass holder of spectacle frames with a vacuum supply hose, in FIG. 5 - can applicator.

 The device for implementing the method comprises a compressor unit 1, a pneumatic unit 2, a control unit that allows you to set the required exposure parameters, including frequency, amplitude, pressure, exposure time, and the executive unit 4 - glasses - applicators, banks - applicators with vauum-feeding hoses.

 Goggles - applicators are made according to the type of goggles in the form of a rubber or plastic soft frame 5, the glass holders of which are made in the form of o-rings 6 of soft rubber or plastic for a snug fit to the area of the eye socket and in which glasses 7 are placed, having openings for fittings 8, connected to a vacuum supply hose 9.

 The applicator cans are made in the form of a hard case 10 of plexiglass or bell-shaped plastic, having an opening for accommodating the fitting 11 connected to a vacuum supply hose 12.

 The method is as follows.

 They put on patient glasses with applicators, connect vauum-supplying hoses (or a hose, depending on whether one or both eyes are exposed to pressure), set pressure parameters: pressure - from +5 to -5 kPa, frequency - from 30 to 240 vibrations per minute, the oscillation amplitude is up to 10 kPa, the exposure time is from 3 to 30 minutes. The exposure parameters are selected depending on the patient’s condition and, as a rule, at the first stage of treatment, the pressure drop captures both the positive and negative pressure areas, with a slight transition to the negative side. As treatment progresses from procedure to procedure, the doctor switches mainly to exposure in the negative pressure range. The reference point is the control of visual acuity and the state of the vascular bed. The duration of the procedure depends on the patient's sensations, and if discomfort occurs, the procedure is interrupted.

 When exposed, a sinusoidal form of pressure change in amplitude is used, which is closest to the characteristics of the physiological processes that occur in the body, and therefore is most harmless and comfortable.

 The frequency of the sinusoidal change in pressure is also chosen based on the patient’s comfortable state, and preferably ranges from 30 to 240 fluctuations per minute. Depending on the condition of the patient, a change in the applied pressure, as well as frequency, is possible during one procedure.

 Immediately before applying pressure to the orbit, or immediately after such exposure, pressure may be applied to the neck at the base of the skull and closer to the shoulders on both sides of the spine, and / or on the head from the crown of the head, and / or on the face directly under the eyes, and / or forehead directly above the eyes with parameters from +5 to -20 kPa, amplitude up to 25 kPa, frequency from 20 to 600 vibrations per minute, exposure time from 3 to 30 minutes. When using pressure, capturing the positive part, the cans of applicators hold hands. If possible (in the absence of hair on the parietal part of the head), banks are also installed on the crown.

 The therapeutic effect of the method according to the invention is associated with increased capillary circulation in the inner membranes of the eyeball, as well as in the vessels of the orbital tissues and the optic nerve. In addition, the outflow of intraocular fluid through the angle of the anterior chamber, intrascleral vessels, is enhanced. An important component is the improvement of venous outflow from the vessels of the eyeball and orbit. This leads to a significant improvement in metabolic processes in the eye, orbit and optic nerve and to an improvement in visual functions in diseases and injuries of the organ of vision. In addition, there is a normalization of the outflow of intraocular fluid, which is extremely important in the treatment of glaucoma. In the case of using the method for myopia, there is an increase in the function of accommodation muscles, and in the case of using the method for age-related cataracts, partial enlightenment of the lens and vitreous body occurs, which leads to an increase in visual acuity.

 The method is illustrated by the following examples.

 Example 1. Patient B., 18 years old. On examination, the visual acuity of the right eye of 0.001 is not corrected. The eyeball is sharply hyperemic, a mixed injection of scleral vessels. The anterior chamber is filled with fibrin. The pupil is narrow, does not respond to light due to circular fusion with the lens. Sick for 3 days, was not treated. The left eye is healthy.

 The diagnosis is acute fibrinous iridocyclitis of the right eye. The treatment was prescribed: exposure through decompression goggles with parameters: pressure from +5 to -5 kPa, amplitude 10 kPa, exposure time - 5 minutes, frequency - 50 vibrations per minute.

 On the third day of treatment (daily sessions with the same parameters), a minor injection of scleral vessels and gentle clouding of the vitreum. Visual acuity of the right eye increased to 0.3. On the tenth day of treatment (exposure with the same parameters once a day), visual acuity returned to 1.0, slight turbidity in the vitreum.

 Thus, visual acuity increased and inflammation was stopped without the use of antibiotics and in a shorter time than with traditional treatment.

 Example 2. Patient B., 22 years old.

 During the examination: the visual acuity of both eyes is 0.1, with a correction of -3.0 diopters. = 0.7. Wide pupil refraction - myopia 3.0 diopters. in both eyes. Complaints of painful sensation and eye fatigue while reading, visual impairment in glasses. The diagnosis is myopia.

 The treatment was prescribed: exposure through applicator glasses with the following parameters: pressure change from -1 to -5 kPa, amplitude 4 kPa, frequency 20 vibrations per minute, exposure time - 10 minutes. Before such an impact, an impact was made on the neck at the base of the skull and closer to the shoulders on both sides of the spine, on the head from the side of the vertex, on the face directly under the eyes and on the forehead directly above the eyes with decompression parameters from -1 to -20 kPa, amplitude 19 kPa , the frequency of 20 vibrations per minute, the exposure time of 10 minutes.

 From the fifth session, the exposure was carried out with the following parameters: pressure change from +5 to -5 kPa, vibration frequency - 240 vibrations per minute, exposure time - 30 minutes, amplitude 10 kPa. After exposure to the eye area, an impact was made on the neck at the base of the skull and closer to the shoulders on both sides of the spine, on the head from the crown of the head, on the face directly under the eyes and on the forehead directly above the eyes with parameters: pressure change from +5 to -20 kPa , amplitude 25 kPa, vibration frequency - 240 vibrations per minute, exposure time - 30 minutes.

 After 10 sessions, the visual acuity of both eyes without correction of 0.2, with a correction of -2.5 diopters = 1.0, refraction - myopia 2.5 diopters. Asthenopic complaints disappeared.

 Example 3. Patient J., 81 years old. The diagnosis is the initial age-related cataract of both eyes.

 The following treatment was prescribed: the impact on the neck with cans of applicators at the base of the skull and closer to the shoulders on both sides of the spine, on the head from the crown of the head, on the face directly under the eyes and forehead directly above the eyes with parameters: decompression from -1 to - 20 kPa, amplitude 19 kPa, frequency 60 vibrations per minute, exposure time 5 minutes. Further, the effect on the eyes through the glasses is applicators with the following parameters: decompression from -1 to -4 kPa, amplitude 3 kPa, frequency 180 vibrations per minute, duration 10 minutes.

Before treatment, visual acuity:
OD = 0.1 + 2.5 D = 0.6,
OS = 0.1 + 2.5 D = 0.6.

After 10 sessions that were performed every day:
OD = 0.2 + 2.5 D = 0.8, OS = 0.3 + 2.5 D = 1.0.

When viewed after 4 months:
OD = 0.1 + 2.5 D = 0.7, OS = 0.2 + 2.5 D = 0.8.

 Example 4. Patient B., 56 years old. The diagnosis is open-angle Ia glaucoma of the right eye, IIIa glaucoma of the left eye.

Visual acuity: OD = 1.0, OS = 0.8-2.5 D = 0.9,
Intraocular pressure (IOP): OD = 28 mmHg, OS = 30 mmHg

 The following effects were carried out: decompression from -2 to -5 kPa, amplitude 3 kPa, frequency 180 oscillations per minute, time 5 minutes. Further, an impact was made on the neck at the base of the skull and closer to the shoulders on both sides of the spine, on the face directly under the eyes, on the forehead directly above the eyes with the same parameters.

 5 minutes after the first session, IOP decreased by 4 mm RT. Art on the right and 5 mm RT. Art on the left eye. After 1 and 2 hours IOP OD = 24 mm Hg, OS = 25 mm Hg

 10 similar exposure sessions were conducted with constant local antihypertensive therapy. IOP was 23 mm Hg. Subjective improvement in vision was noted: greater brightness and contrast of objects in the field of vision. Visual acuity:: OD = 1.0, OS = 098 - 0.5 D = 1.0. The peripheral borders of the field of view expanded, the number of central cattle decreased (when examining the Orbit perimeter).

 Example 5. Patient M., 61 years old, diagnosed with central chorioretinal dystrophy of both eyes, non-exudative form.

 10 exposure sessions were conducted through glasses - applicators on the eyes and banks - applicators on the neck, forehead over the eyes, face under the eyes, temples. Eye exposure parameters: pressure from +5 to -2 kPa, amplitude 7 kPa, frequency 120 vibrations per minute, time 15 minutes. The exposure parameters through banks - applicators: decompression from -5 to -15 kPa, amplitude 20 kPa, frequency 240 vibrations per minute, time 20 minutes.

 After the exposure, the visual acuity of the right eye increased from 0.08 to 0.2, the left - from 0.1 to 0.3 without visible changes in the fundus in the dynamics.

 Example 6. Patient K., 48 years old, diagnosed with chronic meibomian blephoritis in both eyes.

 10 exposure sessions were conducted through eye-applicator glasses with the following parameters: pressure from +1 to -3 kPa, amplitude 4 kPa, frequency 240 vibrations per minute, exposure time 20 minutes (daily sessions). The function of the meibomian glands has improved.

 Within 7 months after exposure to control examinations, relapse of the disease was not noted.

 The above examples demonstrate the effectiveness of using the method according to the invention for various eye diseases, accompanied by a decrease in visual acuity, to increase the latter.

Claims (3)

 1. A method of increasing visual acuity, characterized in that from the side of the interested eye in a region limited by the orbit, a pressure of +5 to -5 kPa is applied for 3 to 30 minutes, while the effect is performed according to a sinusoidal law with a frequency of 30 to 240 vibrations per minute and amplitude up to 10 kPa.  2. The method according to claim 1, characterized in that apply pressure from -1 to -5 kPa.  3. The method according to claim 1, characterized in that immediately before exposure to pressure on the eye or after it is carried out for 3 to 30 minutes, the sinusoidal effect of the pressure on the neck at the base of the skull and closer to the shoulders on both sides of the spine, and / or on the head from the crown of the head, and / or on the face directly under the eyes, and / or on the forehead directly above the eyes, and / or on the temples with parameters: pressure from +5 to -20 kPa, amplitude up to 25 kPa, frequency from 20 up to 600 vibrations per minute.

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