RU2204970C1 - Method for treating the cases of open angle glaucoma - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves administering hypoxic mixture for breathing under normal atmospheric pressure conditions in cyclically fractioned mode. Inhalation of the mixture during 0.5- 5.0 min is alternated with atmospheric air inhalation during 2-5 min, the number of cycles being equal to 2-10 per session. The total treatment course is 25 sessions long. EFFECT: enhanced effectiveness of treatment.

Description

 The invention relates to medicine, namely to ophthalmology.

 A known method of treating exhaust gas by prescribing drugs that affect the outflow and secretion of aqueous humor, dehydration of eye tissues, blood circulation in the eye / In the book: A.P. Nesterov, A.Ya. Bunin, L.A. Katsnelson. Intraocular pressure. Physiology and pathology. -M .: Publishing house "Science", 1974, p. 342-368 /.

 The disadvantages of this method of treatment are low efficiency, the presence of side effects and complications, the need for continuous administration of drugs.

 There is a method of treating OG by conducting physiotherapeutic measures: laser, magnetotherapy, electrical stimulation of the optic nerve (in the journal: Clinical Ophthalmology, 2000, volume 1, 1, p. 6-10).

 The disadvantages of these methods of treatment is also low efficiency, the need for medication, limitation of indications for use.

 The technical result of the invention is to expand the arsenal of funds for the treatment of the heavy contingent of patients with GO, which is of particular importance in the presence of complications of drug therapy; increasing the effectiveness of treatment of hypertension by reducing intraocular pressure (IOP), increasing visual acuity (OZ), expanding visual fields (PZ), the absence of side effects and complications, and the need for continuous administration of drug therapy.

 This result is achieved by the fact that a patient with OG is prescribed breathing with a hypoxic mixture (GTS-10) at normal atmospheric pressure in a cyclically fractionated mode: breathing with GTS-10 0.5-5.0 min alternates with breathing with atmospheric air for 2-5 min, the amount cycles 2-10 (one session), a course of treatment of 25 sessions.

 It does not follow from the prior art that the alternation of respiration of GHS-10 with breathing of atmospheric air in a cyclically fractionated mode will increase the efficiency of treatment of exhaust gas due to a decrease in IOP, an increase in EP, and an expansion of the PP.

 The method is as follows. Prior to treatment, a patient with a diagnosed GH is tested for individual tolerance to GGS-10 using the Hypoxicator MVk-0.14 apparatus of the Cryogenmash plant. The presence of pallor, increased sweating, increased blood pressure, more than 30 mm RT. Art. increased heart rate of more than 30 beats in 1 min, a feeling of lack of air indicate individual intolerance to GGS-10.

 Contraindications to the use of this method are acute infectious and somatic diseases, exacerbation of chronic diseases, individual intolerance.

 In the absence of contraindications to the patient with OG, taking into account age, pathological features and individual reactions, GTS-10 breathing is prescribed at normal atmospheric pressure in a cyclically fractionated mode: GTS-10 breathing 0.5-5.0 min alternate with breathing atmospheric air for 2-5 min , the number of cycles 2-10 (one session), the course of treatment is 25 sessions. During the course of treatment of drugs that reduce IOP, most patients do not accept.

 During treatment, IOP, OZ and PZ are measured.

 Example. Patient K., born in 1936, retired by age, outpatient card 14/105. Diagnosis: Open-angle glaucoma in both eyes, advanced stage (II), degree of compensation "A". I was outpatient in the Shchelkovo district hospital 2.

 Sick since 1998. Systematically takes special ophthalmic drugs (cigarette, taufon, etc.).

 Complaints upon receipt of a decrease in visual acuity, veil, blurredness, a person sees well "above and below, and at the waist level narrowing", a feeling of fullness and soreness in both eyes. The use of ophthalmic drugs provokes discomfort in the heart.

Before treatment 03.08.01 IOP indicators - 27 mm RT on the right. Art., left 25 mm RT. Art., OZ - 0.02 on the right, 0.6 on the left, PZ - on the right narrowed to 15-20 ^o , on the left to 30-45 ^o .

 The patient spent 25 sessions using GGS-10 using the apparatus "Hypoxicator MVk-0.14." During treatment, the patient did not take drugs that lower IOP.

 After checking the individual reaction to GHS-10 during treatment, the patient gradually increased the breathing time of GHS-10 from 0.5 to 2.0 minutes and atmospheric air to 2-3 minutes, 2-4 cycles in one session in the first half of the course and 3-5 minutes breathing GTS-10 and atmospheric air, 6-10 cycles per 1 session - in the second half of the course.

 After 5-6 sessions, the patient noted a slight improvement in the clarity of vision and the expansion of the PZ, reduction of pain and bursting in the eyes. After each session, IOP decreased by 1-5 mm RT. Art.

Towards the end of the course of treatment, the outlined improvement in OZ, a decrease in IOP, and an expansion of the PZ became deeper and more stable. Indicators after a course of treatment from 09/06/01 - IOP on the right and left 22 mm RT. Art., OZ on the right 0.02, on the left 0.9, PZ on the right up to 25-30 ^o , on the left up to 35-70 ^o .

 After the end of treatment, she was without drug therapy for another 6 weeks, then resumed it, but at a dose three times lower than before.

 Thus, the use of GHS-10 in a cyclically fractionated mode in a patient with OG contributed to a decrease in IOP, an increase in OZ, and an expansion of the PZ. Side effects and complications were not noted.

The indicated method of treatment was applied to 25 patients with exhaust gas. In 23 patients (92%) there was an improvement in both subjective and ophthalmic status: a decrease in IOP to 8 mm Hg. Art., increasing OZ to 0.3, the expansion of PZ to 20 ^o . In 48% of patients with hypertension, it was possible to completely cancel all drugs for 2 months or more, in 44% of patients the dose was reduced by a factor of three. Side effects and complications were not noted.

 The proposed method has advantages over the known ones, which include increasing the effectiveness of treatment of patients with hypertension - lowering IOP, increasing OZ, expanding PZ, and also the lack of the need for constant administration of drug therapy, which is of great importance in the presence of complications during its implementation. Side effects and complications were not noted.

Claims (1)

 A method of treating open-angle glaucoma by conducting physiotherapeutic procedures, characterized in that the patient is prescribed breathing with a hypoxic mixture of GHS-10 at normal atmospheric pressure in a cyclically fractionated mode: breathing of GHS-10 0.5-5.0 min alternate with breathing with atmospheric air 2- 5 min, the number of cycles per session 2-10, the course of treatment 25 sessions.