RU2225235C1 - Method for treating the cases of persistent accommodation spasm or mild myopia - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves administering physiotherapy using SCANAR apparatus. Kidney projection area and collar area with the exception of spinous processes area and front area with the exception of central zone of the front or zone including vertebral column spinous processes areas and paravertebral areas from the second cervical vertebra level to the level of intergluteal ligament with the exception of the seventh cervical vertebra area, and trigeminal nerve branch exit are treated during curative session. Additional temperature is applied to eyes beginning from the third session, 2-3 min to each eye by applying electrode to closed eyelids. All zones are treated with electric impulses with their succession frequency of 59-139 Hz and delay time of 20 mcs between impulses. Active signal level is selected on the basis of comfortable feeling. The treatment is carried out in continuous or personally dosed mode. Kidney projection area and collar and paravertebral areas are treated beginning from the left side. The front area, trigeminal nerve branch exit area and eyes are treated beginning from the right side. The treatment is applied once a day, the whole treatment course is 7-11 sessions long. The zone including spinous processes areas and paravertebral areas from the second cervical vertebra level to the level of intergluteal ligament with the exception of the seventh cervical vertebra area and trigeminal nerve branch exit area are treated only once per treatment course. Kidney projection area, spinous processes areas and paravertebral areas from the second cervical vertebra level to the level of intergluteal ligament with the exception of the seventh cervical vertebra area and trigeminal nerve branch exit area and eyes are treated in continuous mode. The collar area with the exception of spinous processes area and front area with the exception of central zone of the front are treated in continuous or personally dosed mode. EFFECT: enhanced effectiveness of treatment. 3 cl

Description

 The invention relates to medicine, namely to ophthalmology, and can be used for the treatment and prevention of weak pseudomyopia and myopia.

 Myopia is one of the most common refractive errors. More than one third of the population of developed countries suffer from myopia. Currently, there is a tendency to increase the number of people with myopia. Acomodation spasm is one of the main causes of the onset and progression of myopia. The cure of accommodation spasms prevents the development of true myopia, and with the development of axial myopia, its progression. Despite the large number of treatments for myopia, to date there are no methods that would be effective for everyone. Persistent spasms of accommodation are particularly difficult to treat, which ultimately lead to true myopia. Therefore, it remains relevant to improve the well-known and develop new, affordable, effective methods of treating accommodation spasm and myopia.

 A known method of treating accommodation spasm by affecting the ciliary muscle with reflected laser radiation (RF patent 2013084, 1994, Bull. 10). However, this method of treatment is not effective enough, because the effect is carried out only on the peripheral section of the visual analyzer and, therefore, the root cause of the spasm is not eliminated.

 A known method of treating accommodation spasm using induction magnetotherapy. A magnetic loop is applied to the head, the exposure time is 30-35 minutes (RF patent 2160131, 2000, Bull. 34). However, this method of treatment is not effective enough for persistent spasms of accommodation.

 A known method of treating nearsightedness, including percutaneous electrical stimulation of the retina and optic nerve, transscleral laser irradiation of the ciliary muscle and instillation of “digophone” before the laser therapy session (RF patent 2169547, 2001, Bull. 18). However, this treatment method does not have a positive effect in all patients. In addition, this method of treatment has contraindications and cannot be prescribed without an additional neurophysiological examination and consultation of a neurologist.

 The aim of the invention is to reduce the number of contraindications, increase the effectiveness of treatment.

 This goal is achieved by conducting a physiotherapeutic effect on the body using the SCENAR apparatus. The impact is as follows: in the session, they affect the area of the projection of the kidneys and the collar area, with the exception of the area of the spinous processes, and the area of the forehead, with the exception of the central part of the forehead, or the area that includes the areas of the spinous processes of the vertebrae and paravertebral areas from the level of the second cervical the vertebra to the intergluteal fold, and the region of the seventh cervical vertebra is not included in the impact zone, and the exits of the branches of the trigeminal nerve. From the third session, they additionally affect the eyes for 2-3 minutes each, applying an electrode to the closed eyelids. The impact on all zones is carried out by electric pulses in a continuous or individually dosed mode with a pulse frequency of 59-130 Hz, a delay between pulses of 20 μs, the level of the acting signal is selected according to the comfort of sensations. The impact on the projection area of the kidneys, paravertebral and collar areas begin on the left side, and on the outlets of the branches of the trigeminal nerve, forehead and eye - on the right side. The exposure is carried out once a day, the course of treatment is 7-11 sessions.

 Comparative analysis with the prototype showed that the proposed technical solution is characterized in that the physiotherapeutic effect is carried out using the SCENAR apparatus as follows: in the session, the projection area of the kidneys and the collar area are excluded, with the exception of the area of the spinous processes, and the forehead, with the exception of the central part of the forehead, or to the area that includes the exits of the branches of the trigeminal nerve and the region of the spinous processes of the vertebrae and paravertebral region from the level of the second cervical vertebra to the intergluteal fold, with the exception of the seventh cervical vertebra. From the third session, they additionally affect the eyes for 2-3 minutes each, applying an electrode to the closed eyelids. The impact on all zones is carried out by electric pulses in a continuous or individually dosed mode with a pulse frequency of 59-130 Hz, a delay between pulses of 20 μs, the level of the acting signal is selected according to the comfort of sensations. The impact on the projection area of the kidneys, paravertebral and collar areas begin on the left side, and on the outlets of the branches of the trigeminal nerve, forehead and eye - on the right side. The exposure is carried out once a day, the course of treatment is 7-11 sessions.

 Thus, this method meets the criteria of the invention of "novelty."

 The analysis of patent and specialized literature showed that the proposed technical solution differs not only from the prototype, but also from other technical solutions in this and related fields. So, the authors did not find a way to treat a spasm of accommodation and a weak degree of myopia, which would include the proposed methods, namely the physiotherapeutic effect on the body using the SCENAR apparatus according to the proposed scheme.

 Exposure using the SCENAR apparatus according to the proposed scheme allows you to effectively affect the refraction system (improving the functioning of the accommodation-convergence apparatus), the peripheral receptor system of the visual analyzer (improving the functional state of the retina), and the conducting system of the visual analyzer (improving the functioning of neuronal elements of the optic nerve), as well as the central nervous system. It is known that the basis of the pathogenesis of accommodation spasms are vegeto-dystonia, mainly parasympathetic or mixed. Exposure to the central nervous system allows eliminating the imbalance of the autonomic nervous system, normalizing the tone and innervation of the ciliary muscle, and creating more favorable conditions for acting directly on the visual analyzer. Such a complex effect allows you to relieve spasm and normalize the functioning of the ciliary muscle and the activity of the accommodation-convergence apparatus, improve the processes of conduction and excitability along the channels, activate the biochemical processes in the retinal pigment epithelium, and improve blood circulation and metabolic processes in the tissues. As a result of a complex effect on the nervous system and on the peripheral section of the visual analyzer, a high efficiency of treatment of accommodation spasm and weak myopia is achieved. As a result, the spasm of accommodation is removed, the reserves of accommodation, visual acuity increase, the process of progression of myopia stops or slows down, the periods of remission increase.

 In addition, the proposed method of treatment has no contraindications and can be used in a wide group of patients.

 This treatment method can be used in ophthalmic institutions for the prevention and treatment of pseudomyopia and myopia.

 Thus, the proposed method meets the criteria of the invention of "inventive step" and "industrial applicability".

The method is as follows:
Children with a diagnosis of accommodation spasm, including persistent accommodation spasm, and / or mild myopia, undergo a course of treatment that includes physiotherapeutic effects on the body using the SCENAR apparatus in the following areas:
1. "Three paths" - affect the somatic and vegetative parts of the central nervous system by moving the electrode of the device along the spinous processes of the vertebrae from top to bottom. The exposure begins under the spinous process of the seventh cervical vertebra to the interagluteal fold, then the cervical spine is processed by moving the device along the spinous processes of the vertebrae from top to bottom, starting from the second cervical vertebra (lower hairline) to the seventh cervical vertebra. The area of the seventh cervical vertebra is not included in the treatment. The exposure time for each point (electrode setting) is 1 minute. Then the paravertebral areas on both sides are treated in the same order and with the same duration of exposure. The impact on the paravertebral region begin on the left side. The impact is carried out continuously.

 2. "Six points" - the electrode of the device is installed on the exit points of the trigeminal nerve branches: above the inner edges of the eyebrows at the nose on both sides, at the wings of the nose on both sides and just below the corners of the mouth on the chin on both sides. Exposure begins on the right side. The impact is carried out continuously for 1 minute per one electrode setting.

 3. Area of the projection of the kidneys - act on the back surface of the body in a direct projection of the kidneys, starting from the left. The region is processed in continuous mode in four directions: 1 - from top to bottom; 2 - from bottom to top; 3 - from left to right; 4 - from right to left. In addition, spiral movements can also be used. The effect is carried out until the color of the skin changes (the appearance of hyperemia). Then they act on the projection area of the right kidney in the same sequence.

 4. Eyes - exposure is through closed eyelids. First, they act on the right eye: the electrode is placed vertically on the closed eye and act continuously for 2-3 minutes. Then carry out an impact on the left eye. The level of the acting signal is selected individually (slight tingling, vibrations, etc., which do not go beyond the comfort of sensations).

5. The collar zone includes two areas:
5.1. Directly collar area. When exposed to SCENAR, the region of the spinous processes is excluded from this area. The exposure is carried out in individually-dosed or continuous mode. When exposed in an individually-dosed mode, paravertebral, starting to the left of the hairline, make three sets of electrode butt-to-butt. Then, parallel to these productions, three more productions are made. After that, they affect the region of the shoulder girdle - two electrode positions in three rows. Then, according to the same scheme, they affect the right half. In total, 24 settings of the device are made on the collar area (12 on each side). When exposed continuously - the area is treated from top to bottom and from the spine outward until hyperemia occurs. Exposure also begins on the left side.

 5.2. 2nd area - forehead area. The central part of the forehead is excluded from exposure. Starting on the right, do three settings of the electrode in a row from the center to the periphery, then also on the left (when exposed in an individually-dosed mode) or for 2 minutes they act on each side of the forehead (in continuous mode).

When exposed in an individually-dosed mode, the following exposure parameters are set on the device:
- modulation (ratio of exposure time to pause) - 3: 1 (pulses with a constant frequency - 3 sec, pause 1 sec);
- damping (changing the initial shape and dynamics of the signal upon exposure) - SCENAR-2 mode;
- intensity (the number of pulses in a packet) is minimal;
- the gap (delay between pulses in the packet) - 20;
- the pulse frequency varies from 59 to 130 Hz.

 When exposed in continuous mode, the level of the acting signal is selected individually for each zone according to the comfort of sensations (until the first sensations such as tingling, vibration, which do not turn into unpleasant, painful sensations).

 In an individually-dosed mode, the duration of exposure to each area of the skin is determined automatically, in continuous mode, the duration of exposure is determined by the doctor (1-3 minutes for each electrode setting).

 SCENAR device is approved for clinical use and is manufactured by OKB Ritm CJSC (Taganrog) under license 007749 (reg. 42/98 - 1325-0260).

 To conduct a therapeutic effect, the doctor sets the required mode of operation and then imposes an electrode on the desired area of the skin. In an individually-dosed mode of exposure, the electrode is rearranged to each subsequent section after receiving a light-sound signal, in a continuous mode - after 1-3 minutes. One session includes exposure to the kidney zone and the collar zone, or to the “three paths” - “six points” zone. As a rule, for the course of treatment, the impact on the “three paths” - “six points” zone is carried out once. From the third session of the course of treatment, eye effects are added to the above zones. The course of treatment includes 7-11 sessions. Treatment is carried out daily, once a day.

 Before and after the course of treatment, patients undergo an ophthalmological examination, including visometry, ophthalmoscopy (direct and reverse), autorefractometry with a narrow and wide pupil, and determination of accommodation reserves.

 The resistance of the tension of the ciliary muscle (degree of spasm of accommodation) is determined using the test proposed by E.V. Avetisov and N.Ya. Vilin, 1970. The test is carried out monocularly. Subjectively, a minus correction is detected, after which visual acuity is determined according to the table for a close distance from 33 cm. Then, glass + 3 Dptr was added to this correction. If after some time the patient can read the same line of the table for a close distance, then they begin to increase the correction by + 0.5 Dptr, and put the glass with a force of + 3.5 Dtr, then + 4.0 Dptr, etc. The indicator of the sample is the maximum strength of the positive glass, overcome by the patient within 10 minutes. According to the resistance of the ciliary muscle tension, three forms of accommodation spasm are distinguished - persistent (+ 3.5 D), relatively stable (+ 4.0 D) and unstable (+ 4.5 D and above).

 Example 1. Zh.D., 11 years old.

Vis OD 0.3 sph-1.5 = 1.0
OS 0.3 sph-1.5 = 1.0
Reserves of relative accommodation (ROA) = - 3.0 Dptr
Narrow pupil refractometry:
OD sph - 1.5 cyl-0.25 ax 180 ^o
OS sph - 1.25 cyl-0.25 ax1 ^o
Autorefractometry in a state of cycloplegia (1% atropine sulfate):
OD sph - 0.25 cyl-0.25 ax 175 ^o
OS sph - 0.25
The fundus is normal.

 A test to determine the degree of accommodation spasm was performed as described above. The patient can continue reading with a lens power not higher than +3.5 Dptr.

 Ds: mild myopia in both eyes, persistent spasm of accommodation.

 The patient underwent a course of treatment, including electrical stimulation of the retina and optic nerve 11, laser stimulation (laser glasses) 11, pattern stimulation 11.

After treatment:
Vis OD 0.35 sph-1.0 = 1.0
OS 0.35 sph-1.0 = 1.0
POA = -5.0 Dptr
Narrow pupil refractometry:
OD sph - 1.0 cyl-0.25 ax 178 ^o
OS sph-1,0
As can be seen from the above data, the effect of the treatment was low - the spasm of accommodation could not be removed, the visual acuity did not change.

At the control examination after 6 months:
Vis OD 0.2 sph-1.25 = 1.0
OS 0.2 sph-1.25 = 1.0
POA = -4.0 Dptr
Narrow pupil refractometry:
OD sph-1,5 cyl-0,5 ax 178 ^o
OS sph-1,5 cyl-0.25 ax 0 ^o
Autorefractometry in a state of cycloplegia:
OD sph-0.25 cyl-0.25 ax 175 ^o
OS sph-0.25
Ds: mild myopia in both eyes, persistent spasm of accommodation.

Due to the ineffectiveness of hardware treatment, the patient underwent a course of treatment using the SCENAR apparatus. SCENAR-therapy was carried out according to the following scheme:
At the first and second sessions, they affected the area of the projection of the kidneys, starting from the left, in continuous mode in four directions: from top to bottom, from bottom to top, from left to right, from right to left until the skin color changes (hyperemia) and the collar zone individually -dosed mode (in the first session) and continuous mode (in the second session). In the third session, the “three tracks” - “six points” area was operated on continuously (within 1 minute for setting the electrode). At the fourth and eleventh sessions, an impact was made on the area of the projection of the kidneys (in continuous mode) and the collar zone (in continuous or individually-dosed mode). From the third session and all subsequent ones, they additionally affected the eyes: the effect was carried out through closed eyelids in uninterrupted mode with “comfortable” parameters, which were selected individually. The impact was carried out first on the right eye, then on the left. The operating mode is continuous, the exposure time is 2 minutes. The total number of sessions is -11. After the end of SCENAR-therapy:
Vis OD 0.8 sph-0.25 = 1.0
OS 0.85 sph-0.25 = 1.0
ROA = - 7.5 Dptr
Narrow pupil refractometry:
OD sph-0.25 cyl-0.25 ax 178 ^o
OS sph-0.25
Autorefractometry in a state of cycloplegia:
OD sph-0.25 cyl-0.25 ax 178 ^o
OS sph-0.25
At the control examination after 6 months:
Vis OD 0.8 sph-0.25 = 1.0
OS 0.8 sph-0.25 = 1.0
POA = - 7.5 Dptr
Narrow pupil refractometry:
OD sph-0.25
OS sph-0.25 cyl-0.25 ax 8 ^o
Autorefractometry in a state of cycloplegia:
OD sph-0.25
OS sph-0.25
Thus, the proposed method allowed to obtain a good effect - to remove the spasm of accommodation, increase visual acuity and keep it for a long time.

 Example 2. F.K., 12 years old.

 He entered the Scientific Research Institute of Economics and Economics with complaints of poor vision in the distance.

Objectively:
Vis OD 0.1 sph-3.5 = 0.9
OS 0.3 sph-1.25 = 0.9
ROA = -1.0 Dptr
Narrow pupil refractometry:
OD sph-3,5 cyl-1,0 ax 165 ^o
OS sph-1.25 cyl-0.5 ax 10 ^o
Autorefractometry in a state of cycloplegia:
OD sph-1.75 cyl-0.25 ax 165 ^o
OS sph-0.5 cyl-0.25 ax 10 ^o
The fundus is normal.

 When testing to determine the degree of accommodation spasm, it was found that the patient can continue reading with a lens with a force of no higher than +3.5 Dptr.

 Ds: Anisometropia. Mild myopia OD, OS, persistent spasm of accommodation.

The patient underwent a course of hardware treatment, including laser stimulation of the ciliary muscle 11, training of convergence reserves at the synaptophore 11. No electrical stimulation of the retina and optic nerve was performed, as the patient had contraindications (according to an electroencephalographic examination). After treatment:
Vis OD 0.2 sph-3.0 = 1.0
OS 0.5 sph-1.0 = 1.0
POA = - 2.5 Dptr
Narrow pupil refractometry:
OD sph-3.0 cyl-0.75 ax 168 ^o
OS sph-1,0 cyl-0,25 ax 8 ^o
Autorefractometry in a state of cycloplegia:
OD sph-1.75 cyl-0.25 ax 165 ^o
OS sph-0.5 cyl-0.25 ax 10 ^o
At the control examination after 3 months:
Vis OD 0.1 sph-3.25 = 1.0
OS 0.45 sph-1.0 = 1.0
POA = - 2.5 Dptr
As can be seen from the above data, the effectiveness of the treatment was quite low, the effect of the treatment remained for a short time.

 The patient underwent 7 sessions of SCENAR-therapy according to the following scheme: 1, 2, 3, 5, 6, 7 sessions - performed an effect on the area of the projection of the kidneys in a continuous mode, starting from the left. The impact was carried out in four directions: 1) from top to bottom, 2) from bottom to top, 3) from left to right, 4) from right to left until the color of the skin (hyperemia) changes. After processing the projection zone, the kidneys acted on the collar zone in individually-dosed (at the 1st and 5th sessions) or continuous (at the 2nd, 3rd, 6th and 7th sessions) mode. At the fourth session, the “three tracks” and “six points” methods were used in continuous mode (for 1 minute for each electrode setting). Starting from the 3rd session, in parallel with the effect on the zones of the kidneys, the collar zone, “three paths” - “six points”, an effect was made on the eye area: the electrode of the device was placed on the closed eyelids for 3 minutes, first on the right and then on the left eye. The impact was carried out in a continuous mode, "comfortable" parameters, which were selected individually. The course of treatment is 7 sessions.

After the course of SCENAR-therapy:
Vis OD 0.25 sph-1.75 = 1.0
OS 0.55 sph-0.5 = 1.0
ROA = - 5.0 Dptr.

Narrow pupil refractometry:
OD sph-1.75 cyl + 0.25 Ah 15 ^o
OS sph-0.5 cyl-0.25 ax 7 ^o
Wide pupil autorefractometry:
OD sph-1.75
OS sph-0.5
After 6 months at the control examination:
Vis OD 0.25 sph-1.75 = 1.0
OS 0.55 sph-0.5 = 1.0
ROA = - 5 Dptr.

Narrow pupil refractometry:
OD sph-1.75 cyl-0.5 ax l5 ^o
OS sph-0.5 cyl-0.25 ax 8 ^o
Autorefractometry in a state of cycloplegia:
OD sph-1.75 sul-0.25 ah 15 ^o
OS sph-0.5
Thus, monotherapy using the SCENAR apparatus made it possible to increase the efficiency of patient treatment (compared to standard hardware treatment) and increase the duration of remission.

 Example 3. Sh.A., 8 years old.

Vis OD 0.75 sph-0.75 = 1.0
OS 0.8 sph-0.5 = 1.0
ROA = - 3.5 Dptr
Narrow pupil refractometry:
OD sph-0.5 cyl-0.75 ax 178 ^o
OS sph-0.5 cyl-0.25 ax 8 ^o
Autorefractometry in a state of cycloplegia:
OD sph + 0.25 cyl + 0.25 ah 175 ^o
OS sph + 0.25
The fundus is normal.

 When testing to determine the degree of accommodation spasm, it was found that the patient can continue reading with a lens with a force of no higher than + 4.0 Dptr.

 Ds: relatively persistent spasm of accommodation.

 The treatment of accommodation spasm by the proposed method. At 1, 2, 3, 4, 6, 7 sessions, they affected the area of the projection of the kidneys according to the above scheme. After exposure to the projection area, the kidneys acted on the collar zone in an individually-dosed (1, 3, 6 sessions) or continuous (2, 4, 7 sessions) mode.

 At the 5th session, the effect of the scheme "three tracks" - "six points" in a continuous mode. Starting from the third session of the course of treatment and all subsequent ones, they acted on both eyes in a continuous mode for 3 minutes for each of the “comfortable” parameters. The course of treatment is 7 sessions.

After the end of SCENAR-therapy:
Vis OD = l, 0
OS = 1.0
POA = -8.0 Dptr
Narrow pupil refractometry:
OD sph 0.00 cyl + 0.25 ah 176 ^o
OS sph 0.00 cyl + 0.25 ax 7 ^o
Autorefractometry in a state of cycloplegia:
OD sph + 0.5 cyl + 0.25 ax 178 ^o
OS sph + 0.25
The treatment effect lasted for 5 months.

At the control examination after 6 months:
Vis OD 0.9 sph-0.25 = 1.0
OS 0.7 sph-0.25 = 1.0
POA = -5.0 Dptr
Narrow pupil refractometry:
OD sph-0.25 cyl-0.5 ah 175 ^o
OS sph-0.5 cyl-0.25 ax 6 ^o
The treatment was carried out according to the proposed method (7 sessions of SCENAR-therapy according to the proposed scheme).

After treatment:
Vis OD = 1.0
OS = 1.0
POA = -8.0 Dptr
Narrow pupil refractometry:
OD sph + 0.25
OS sph + 0.25
Wide pupil autorefractometry:
OD sph + 0.5
OS sph + 0.5
Thus, the treatment of accommodation spasm according to the proposed method allowed to achieve a good treatment effect and save it for a long time.

 Example 4. T.V., 12 years old.

Vis OD 0.1 sph-2.5 = 1.0
OS 0.15 sph-3.0 = 1.0
POA = -4.5 Dptr
Narrow pupil refractometry:
OD sph-2,5
OS sph-3.0
Autorefractometry in a state of cycloplegia:
OD sph-2.25
OS sph-2.75
Echobiometry of the eyes:
front-rear size OD 24.1 mm
front-rear OS size 24.2 mm
The fundus is normal.

 From the anamnesis: the patient is observed for two years. Myopia increases by 0.5-0.75 Dptr per year despite the treatment, which the patient will receive 1 time in 6 months.

 Ds: mild myopia, slowly progressing course.

 The treatment of myopia by the proposed method. On the 1st, 2nd, 4th, 5th, 6th, 7th, 8th, 9th sessions, they affected the area of the projection of the kidneys according to the above scheme. After exposure to the projection area, the kidneys acted on the collar zone in an individually-dosed (1, 4, 6, 8 sessions) or continuous (2, 5, 7, 9 sessions) mode. At the 3rd session, the effect of the scheme "three tracks" - "six points" in a continuous mode. Starting from the third session of the course of treatment and all subsequent ones, they acted on both eyes in a continuous mode for 2 minutes for each of the “comfortable” parameters. The course of treatment is 9 sessions.

After the end of SCENAR-therapy:
Vis OD 0.2 sph-2.25 = 1.0
OS 0.2 sph-2.75 = 1.0
POA = -8.0 Dptr
At the control examination after 12 months:
Vis OD 0.2 sph-2.5 = 1.0
OS 0.2 sph-2.75 = 1.0
POA = -6.0 Dptr
As can be seen from the above data, after treatment by the proposed method, the patient stopped the progression of myopia, increased visual acuity without correction, increased reserves of accommodation.

 The proposed method of treatment was used in the treatment of mild myopia and persistent accommodation spasm in 78 patients. The method allowed to increase visual acuity without correction by 0.2-0.55 (an average of 0.35), the reserves of relative accommodation - by 4.0-7.0 Dptr (an average of 5.5 Dptr), relieve the spasm of accommodation , including persistent spasm, in almost all patients. This treatment method allows you to stop or slow the progression of myopia, to increase the duration of remission. The treatment efficiency of the proposed method is 93.6%.

 The proposed method of treatment is effective, affordable, has no contraindications, and can be widely used in clinical practice.

Claims (3)

1. A method for the treatment of persistent spasm of accommodation and mild myopia, including physiotherapeutic effect on the body, characterized in that the physiotherapeutic effect is carried out using the SCENAR apparatus as follows: in the session, the projection area of the kidneys and the collar area are excluded, with the exception of the area of the spinous processes , and on the forehead, with the exception of the central region of the forehead, or on the zone that includes the areas of the spinous processes of the vertebrae and paravertebral areas from the level of the second of the vertebrae to the intergluteal fold, with the exception of the seventh cervical vertebra, and the exits of the branches of the trigeminal nerve, and from the third session additionally affect the eyes for 2-3 minutes each, applying an electrode to the closed eyelids, while the effect on all areas is carried out by electric pulses with a pulse frequency of 59-130 Hz, a delay between pulses of 20 μs, the level of the acting signal is selected according to the comfort of sensations, and the effect is carried out in a continuous or individually-dosed mode, and the impact on the area of the projection of the kidneys, paravertebral and collar areas begin on the left side, and on the forehead, the outputs of the branches of the trigeminal nerve and eyes on the right side, while the effect is carried out once a day, the course of treatment is 7-11 sessions. 2. The method according to claim 1, characterized in that the impact on the area, including the region of the spinous processes of the vertebrae and paravertebral region from the level of the second cervical vertebra to the interagluteal fold, with the exception of the seventh cervical vertebra, and the exits of the branches of the trigeminal nerve are performed once per course treatment. 3. The method according to claims 1 and 2, characterized in that the impact on the projection area of the kidneys, spinous processes and paravertebral areas from the level of the second cervical vertebra to the intergluteal fold, with the exception of the seventh cervical vertebra, the outputs of the branches of the trigeminal nerve and eyes are carried out in a continuous mode, and on the collar area, with the exception of the area of the spinous processes, and the forehead, with the exception of the central part of the forehead, in continuous or individually-dosed mode.