RU2601380C1 - Method of treating functional scotomas in children - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention can be used for treating functional scotomas in children. Method includes alternate exposure of biologically active points VB1, E2 and TR23 on each eye to EHF radiation in terahertz range at molecular spectrum frequency and atmospheric oxygen absorption of 129.0 GHz. Radiation power is 100 mcW in amplitude-modulated generation mode. Each point is exposed for 2 minutes everyday for 3 days.

EFFECT: method provides quick treatment of functional scotomas without need for storage for a long period of forced patient's position and fixation of sight.

1 cl, 2 ex

Description

The invention relates to medicine in the ophthalmology section and can be used in ophthalmic hospitals, ophthalmic clinics, in children's eye protection rooms and health care facilities.

The goal of treating strabismus is to develop binocular vision. At the final stage of treatment, strabismus, even with the correct position of the eyes in the postoperative period, in order to prevent diplopia, abnormal binocular vision can develop, the basis of which is the suppression of the visual impressions of one of the eyes. With two eyes open, a functional scotoma (or suppression scotoma) occurs in the field of view of one eye. Functional scotoma is a prolapse site that occurs in the field of view of the squinting eye with only two eyes open, freeing the patient from diplopia. With a functional scotoma, inhibition of visual impressions occurs.

Abnormal binocular vision with the phenomenon of suppression occurs in 68.3% of cases (E.S. Avetisov "Friendly squint", M., 1977 - 306 p.). The presence of a functional scotoma makes it difficult to carry out orthoptic exercises and the development of binocular vision.

Persistent functional scotoma requires preliminary treatment before the appearance of simultaneous vision or monocular alternating vision (ES Avetisov "Friendly squint", Moscow. - 1977. - 307 S.).

Thus, the problem of treatment and rehabilitation of children with strabismus with functional scotoma remains relevant.

Known methods for treating functional scotomas. The method of alternately covering and opening each of one of the eyes when one gazes at the polaroid diploscope. The disadvantage is that when treated with a polaroid diploscope, the effect of breaking down the scotoma of inhibition occurs after 10-20 sessions (NI Pilman “Correction of squint in children”, Kiev “Zdorovya” - 1979 - 140 s.).

There is also a known method of disinhibition of functional scotoma using haploscopic exercises on the synoptophore, where they blink (8, 6, 4, 3, 2 per second). The disadvantage is that the treatment includes 20-40 or more exercises for 10-15 minutes daily or every other day (ES Avetisov "Friendly squint", Moscow. - 1977. - 307 S.).

The disadvantage of these methods is, in addition to the long duration of treatment, the fact that it is very tiring for children to be stationary for 10-15 minutes, while focusing on the fixation object. Parents are not always able to visit the children's eyesight cabinet for 20-30 days.

We first developed a method for treating functional scotoma, which consists in the fact that EHF radiation from the terahertz range irradiates the skin of biologically active points (BAP) of the application at a frequency of the molecular spectrum of radiation and absorption of atmospheric oxygen of 129.0 GHz at a power of 100 μW in the amplitude-modulated generation mode (AM2). These parameters are embedded in the portable medical device of terahertz therapy "Orbit", developed at OJSC "Central Scientific Research Institute of Measuring Equipment" (Russia). We have revealed the effect of terahertz skin irradiation of three biologically active application points VB1, E2 and TR23. Point VB1 is located 0.5 inches outward from the lateral angle of the eye, in the recess, E2 is lower than 1 inch in the middle of the lower edge of the orbit, and TR23 is located on the lateral end of the eyebrow. Irradiation was carried out alternately for 2 minutes for each BAP alternately on the right and left eyes (a total of 12 minutes per session). Functional scotoma was examined daily on the day after treatment. When exposed to less than 2 minutes, the effect was not achieved, 2 minutes were enough, more than 2 minutes was impractical. It turned out that the functional scotoma disappeared 3 days after daily exposure to terahertz radiation.

Thus, the proposed exposure regimen (6 minutes for each eye and 3 sessions) was optimal for obtaining a positive clinical effect, namely the disappearance of a functional scotoma. Sessions were held daily without a break on weekends. During and after exposure to terahertz waves at a frequency of the molecular spectrum of radiation and absorption of atmospheric oxygen of 129.0 GHz at a power of 100 μW in the amplitude-modulated generation of application points, none of the parents complained of deterioration in the general condition of the child, children did not complain about any or discomfort in the BAP.

The proposed method treated 7 children who, after surgical correction of strabismus and treatment of amblyopia, started orthoptic treatment. Five patients had orthophoria after surgery; two patients maintained a strabismus angle of 3-5 ° (according to the synoptophor). Orthoptic treatment was hampered by the presence of functional scotoma in all children. Moreover, the value of functional scotoma in 4 patients was 3 ° × 3 °, in 3 patients - 19 ° × 19 °.

After 3 sessions of therapy with EHF radiation of the terahertz range at a frequency of the molecular spectrum of radiation and absorption of atmospheric oxygen of 129.0 GHz at a power of 100 μW in the amplitude-modulated generation mode for 2 minutes for each point on the next day, it was noted: functional scotoma disappeared at all patients. As a result of elimination of functional scotoma, 5 patients developed simultaneous vision, 2 monocular alternating. The strabismus angles remaining after the operation in 2 children also disappeared.

Further orthoptic treatment became more productive than in the comparison group.

As an example, we cite two clinical cases indicating the disappearance of a functional scotoma when exposed to terahertz waves at the BAT at the frequency of the molecular spectrum of radiation and absorption of atmospheric oxygen at 129.0 GHz at a power of 100 μW in the amplitude-modulated generation mode.

Example No. 1. Patient M. 5 years. Ds: operated friendly alternating convergent strabismus in both eyes, mild hyperopia of both eyes. Visual acuity of the right eye is 0.5 with correction sph (+) 3.0 diopters = 0.8, of the left eye is 0.4 with correction sph (+) 3.0 diopters = 0.7. Examination by synoptophore revealed: orthophoria, functional scotoma 3 ° × 3 ° in size. 1 month after the strabismus operation, 3 EHF sessions were performed for each eye in the terahertz range of skin irradiation of three BAT VB1, E2 and TR23 at the frequency of the molecular spectrum of radiation and absorption of atmospheric oxygen 129.0 GHz at a power of 100 μW in the amplitude-modulated mode generation of 2 minutes per point. The day after the treatment, the disappearance of the functional scotoma in the patient was noted, simultaneous vision appeared. 4 months after 2 courses of orthoptic treatment, binocular vision was formed.

Example No. 2. Patient F. 4 years 9 months. Ds: operated friendly alternating convergent strabismus in both eyes, moderate hyperopia of both eyes. Visual acuity of the right eye 0.3 with correction sph (+) 5.5 diopters = 0.7, left eye 0.4 with correction sph (+) 6.0 diopters = 0.7. Examination by synoptophore revealed: strabismus angle 4 °, functional scotoma 3 ° × 3 ° in size. 1.5 months after the strabismus operation, 3 sessions of terahertz skin irradiation of three BAT VB1, E2 and TR23 were performed on the right and left at the frequency of the molecular spectrum of radiation and atmospheric oxygen absorption 129.0 GHz at a power of 100 μW in the amplitude-modulated generation mode 2 minutes per point. The day after the treatment, the disappearance of functional scotoma was noted, the patient appeared monocular alternating vision. After 3 courses of orthoptic treatment, simultaneous vision appeared.

As can be seen from the presented data, functional scotoma was eliminated in children, which allowed us to proceed to the development of binocular vision.

Our proposed method for treating functional scotoma using terahertz irradiation of the skin at three biologically active points VB1, E2 and TR23 for each eye at a frequency of the molecular spectrum of radiation and atmospheric oxygen absorption of 129.0 GHz at a power of 100 μW in the amplitude-modulated generation mode is non-traumatic, painless , does not require the surgical qualification of a doctor, can be carried out by paramedical personnel. The use of existing methods of treatment of functional scotomas allows us to proceed to otropic treatment in 20-30 days, while the proposed method of treatment allows orthoptic treatment in 3 days. In addition, the proposed treatment is more easily tolerated by children, as it does not require a forced position and fixing the look.

The absence of adverse reactions in children who received terahertz radiation of biologically active points at the frequency of the molecular spectrum of radiation and absorption of atmospheric oxygen of 129.0 GHz at a power of 100 μW in the amplitude-modulated generation mode is of importance. The method has no contraindications.

The technique is simple, does not cause complications and is recommended for widespread use in ophthalmic practice.

Claims (1)

A method for treating functional scotoma in children, which consists in acting on the biologically active points VB1, E2 and TR23 on the right and left of the EHF with terahertz radiation at a frequency of a molecular spectrum of radiation and atmospheric oxygen absorption of 129.0 GHz at a power of 100 μW in the amplitude mode -modulated generation for 2 minutes at each point daily for 3 days.