RU2695887C1 - Method of strabismus treatment - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to ophthalmology, and can be used for treating strabismus. Performing complex treatment involving exposure to electric bipolar pulses with amplitude 2÷9 V, pulse ratio 8 and frequency 4.90 Hz; 18.5 Hz; 31.5 Hz; 64.5 Hz; 88.5 Hz; 94.5 Hz; 95.5 Hz, wherein exposure is carried out through brass electrodes applied on palms of patient, successively 2÷3 minutes of each of the frequencies. That is followed by acupuncture for 25÷30 minutes, acting on biologically active periorbital points: V1, V2, PC3, PC4, PC5; point E4 and auricular points: AP8, AP24a, AP246. Integrated treatment is daily for 7÷10 days with repetition of therapeutic course 2+4 times in 6 months.

EFFECT: method enables non-traumatic, painless and effective treatment of strabismus, namely to restore binocular vision without developing allergic reactions to the procedures.

1 cl, 2 ex

Description

The invention relates to medicine, namely to ophthalmology, and can be used to treat strabismus.

There are many reasons for strabismus. Often strabismus develops due to weakness of the muscles of the eye, or due to farsightedness and myopia. Sometimes squint develops as a result of astigmatism - a violation of the focusing of the image of the object on the retina, because of which a person sees everything in a distorted form. Neurological diseases and abnormalities, severe stress and psychological trauma can lead to the formation of strabismus.

A known method of treating strabismus by exposure to electric bipolar pulses on the oculomotor muscles. Before the procedure for identifying the affected (or most affected) oculomotor muscle in the conjunctival sac, an anesthetic solution (inocaine, dikain, scovain, etc.) is installed, and a point electrode is applied through the conjunctiva to the attachment site of the oculomotor muscle (RF patent No. 2313375, MKI A61N 1 / 36, priority 05/10/06)

The disadvantage of this method is the possibility of injury to the eye when applying the electrode through the conjunctiva and the development of an allergic reaction with the introduction of an anesthetic solution in the conjunctival sac.

The present invention is to develop a method that allows for effective non-drug atraumatic, painless treatment of strabismus without the development of an allergic reaction to the procedures.

The technical result of the invention is an atraumatic, painless effective treatment for strabismus, namely the restoration of the binocular nature of vision (function of the oculomotor muscles) without developing an allergic reaction to the procedures.

This problem is achieved by the fact that in the method of treating strabismus by exposure to electric bipolar pulses, a comprehensive treatment is carried out, including exposure to electric bipolar pulses with an amplitude of 2 ÷ 9 V, a duty cycle of 8 and a frequency of 4.90 Hz; 18.5 Hz; 31.5 Hz; 64.5 Hz; 88.5 Hz; 94.5 Hz; 95.5 Hz, while the action is performed on the skin of the palms in succession for 2–3 min each of the frequencies, then acupuncture is performed for 25–30 min, affecting the biologically active paraorbital points V1, V2, E4, PC3, PC4, PC5 and auricular points AP8, AP24a, AP24b, complex treatment is carried out daily for 7 ÷ 10 days, with a repeat of the course of treatment 2 ÷ 4 times after 6 months.

To conduct exposure to electric bipolar pulses in the treatment of strabismus, according to the proposed method, use, for example, a domestic device “MINI-EXPERT-DT”.

Studies on patent and scientific and technical information sources have shown that the proposed method is unknown and does not follow explicitly from the studied prior art, i.e. meets the criteria of "novelty" and "inventive step".

The proposed method can be applied in medical institutions equipped with widely used equipment manufactured by domestic or foreign industry.

Therefore, the claimed method is affordable and practically applicable.

On the surface of the skin of the body are biologically active points. It is at these points that the maximum number of specific and nonspecific receptors that transmit signals to various levels of the central nervous system is concentrated. In addition, these points are most closely related to the corresponding internal organs. These functional features formed the basis of their therapeutic use.

In medicine, the eyes are examined in close connection with other internal organs. The function of the organ of vision depends on the state of various organs and systems of the body. The use in the proposed method for the treatment of strabismus of such methods of systemic effects on the body, such as the complex effect of electric bipolar pulses on biologically active points of the skin of the palm and acupuncture, contributes to the effective treatment of strabismus.

The proposed method is as follows:

The patient is seated in a sitting position. Brass electrodes, strengthen on the palms of the patient.

Further, for example, brass electrodes in contact with the patient’s palms are connected to the MINI-EXPERT-DT apparatus, turned on, and exposed to biologically active points on the skin of the palm by electric bipolar pulses.

The impact of electric bipolar pulses, duty cycle 8 and an amplitude of 2 ÷ 9V is carried out with a frequency of 4.90; 18.5; 31.5; 64.5; 88.5; 94.5; 95.5 Hz sequentially for 2 ÷ 3 min each of the frequencies. When choosing the amplitude with electric bipolar pulses, it is established that the intensity of exposure to biologically active points of the skin of the palm, which does not cause the patient unpleasant sensations, feelings of pain, fascicular muscle twitching, etc.

Then, the patient in the supine position is given acupuncture for 25–30 min, acting on the following points: paraorbital points — V1 ching-min, V2 tsuan-chu, E4 dizan, RS3 yin-tan, RS4 shan-gen, RS5 tou-guan-min (yu-shan) and auricular points - AP8, AP24a, AP24b.

Acupuncture is carried out with disposable silver needles. Needle size 0.25 × 13 mm, puncture depth 2 ÷ 3 mm. The needle is introduced by slow rotational movements until the sensation of bursting, heaviness without irradiation. With a symmetrical arrangement of biological active points, the effect is carried out on both sides.

The number of sessions per treatment course is determined primarily by the degree of the disease. It is 7 ÷ 10 sessions with a repetition of the course of treatment 2 ÷ 4 times after 6 months. The number of courses of therapeutic effect is determined individually in accordance with the proposed method for the treatment of strabismus, taking into account the severity of the disease and the dynamics of the indicators.

The assessment of the dynamics of visual functions is determined by the results of observation of changes in visual acuity; obtaining bifoveal fusion at synoptophore; reducing the strabismus angle according to Hirschberg and obtaining a symmetrical position of the eyes; obtaining simultaneous and restoration of the binocular nature of vision (the ultimate goal of treating strabismus).

Example 1

Patient A., 11 years old. Diagnosis: Converging convergent alternating strabismus, anisometropia, high degree hyperopia, complex hyperopic astigmatism, medium degree amblyopia of the right eye, moderate degree hyperopia, weak left amblyopia. Upon admission, an ophthalmic examination was performed:

Visual acuity (oz) of the right eye OD = 0.1, left eye OS = 0.5.

The nature of vision: monocular, leading eye OS

The position of the eyes is wrong. Deviation of the right eye 25 ° to the nose according to Hirschberg. Deviation of the left eye 15 ° to the nose according to Hirschberg. Both eyes (OU) The cornea is transparent, the anterior chamber is of medium depth, moisture is transparent, the crystalline lens is transparent.

Fundus: optic nerve disc pale pink, clear borders, vascular progression unchanged. Arteries are not changed, veins are full-blooded.

Macular region unchanged.

Strabismus treatment was carried out according to the proposed method as follows:

Patient A., in a sitting position, was strengthened with brass electrodes on his palms.

Then, brass electrodes in contact with the patient’s palms were connected to the MINI-EXPERT-D apparatus, turned it on, and exposed biologically active points of the palm skin with electric bipolar pulses, amplitude 2V, duty cycle 8 and frequency 4.90; 18.5; 31.5; 64.5; 88.5; 94.5; 95.5 Hz.

According to the proposed method, exposure to electric bipolar pulses was carried out sequentially for 2 min each of the frequencies.

Then, patient A., lying down, underwent acupuncture, acting on the following acupuncture points: V1, V2, E4, PC3, PC4, PC5, AR8, AR24a, AR24b for 25 minutes.

Acupuncture was performed with disposable silver needles. Needle size 0.25 mm, puncture depth 2 mm. The needle was introduced by slow rotational movements until the sensation of bursting, heaviness without irradiation. With a symmetrical arrangement of biological active points, the effect was carried out on both sides.

Complex treatment was carried out daily for 7 days with a repetition of the course of treatment after 6 months.

After the first course of complex treatment with acupuncture and electric bipolar pulses, visual acuity:

oz OD = 0.2

oz OS = 0.6

The position of the eyes is wrong. Deviation of the right eye 15 ° to the nose according to Hirschberg. Deviation of the left eye 10 ° to the nose according to Hirschberg.

After a second course of treatment after 6 months, visual acuity: OD = 0.4, OS = 0.8

The position of the eyes is wrong. Deviation of the right eye less than 10 ° to the nose according to Hirschberg.

Deviation of the left eye 5 ° to the nose according to Hirschberg.

Therefore, as a result of the first course of complex treatment, it was possible to increase visual acuity by 10% compared to the original and Deviation according to Hirschberg: OD 15 ° and OS 10 °.

After the 2nd course of treatment, the effect of increasing visual acuity by 20% was noted. Hirschberg deviation: OD less than 10 ° and OS 5 °: symmetrical eye position obtained.

No further visual impairment was observed for 3 years.

Example 2

Patient B., 17 years old. Diagnosis: Common monolateral divergent strabismus of the left eye, anisometropia, weak myopia of the right eye, high myopia, complex myopic astigmatism, middle degree amblyopia of the left eye.

Upon admission, an ophthalmic examination was performed:

Visual acuity of the right eye OD = 0.2, left eye OS = 0.01

Character of view: monocular OD

The position of the right eye is correct. The position of the left eye is wrong. Deviation outwards by 20 ° according to Hirschberg.

OU The cornea is transparent, the anterior chamber is of medium depth, moisture is transparent, the crystalline lens is transparent.

The fundus of the eye: the optic nerve disc is pale pink, the borders are clear, the myopic cone is on the left eye, the course and caliber of the vessels are not changed.

Macular area unchanged

The treatment was carried out according to the proposed method as follows.

Patient B., in a sitting position, brass electrodes were strengthened on the palms.

Then, brass electrodes in contact with the patient’s palms were connected to the MINI-EXPERT-D apparatus, turned it on, and exposed biologically active points of the palm skin with electric bipolar pulses with an amplitude of 9 V, a duty cycle of 8 and a frequency of 4.90; 18.5; 31.5; 64.5; 88.5; 94.5; 95.5 Hz.

According to the proposed method, exposure to electric bipolar pulses was carried out sequentially for 3 min each of the frequencies.

Then, the patient V., lying down, underwent acupuncture, acting on the following acupuncture points: V1, V2, E4, PC3, PC4, PC5, AR8, AR24a, AR24b for 30 minutes.

Acupuncture was performed with disposable silver needles. Needle size 0.5 mm, puncture depth 3 mm. The needle was introduced by slow rotational movements until the sensation of bursting, heaviness without irradiation. With a symmetrical arrangement of biological active points, the effect was carried out on both sides.

Complex treatment was carried out daily for 8 days. The course of complex treatment was carried out 3 times with an interval after 6 months.

After the first course of treatment, visual acuity:

right eye OD-0.4, left eye OS = 0.05

The position of the right eye is correct. The position of the left eye is wrong. Deviation outwards by 10 ° according to Hirschber.

After the second course of treatment, visual acuity:

Visual acuity of the right eye OD = 0.6

left eye OS = 0.1

The position of the right eye is correct. The position of the left eye is wrong. 5 ° outside deviation according to Hirschberg.

After the third course of treatment, visual acuity:

Visual acuity of the right eye OD = 0.8 of the left eye OS = 0.2

The position of the right eye is correct. The position of the left eye is correct. Deviation outward less than 5 ° according to Hirschberg.

As a result of 3 courses of complex treatment, an increase in visual acuity of the right eye by 40%, and the left - by 20% compared with the original. Hirschberg deviation: OS less than 5 °: obtained a symmetrical position of the eyes.

No further visual impairment was observed for 3 years.

The proposed method of treatment allows for the effective treatment of strabismus without developing an allergic reaction to the procedures, as well as preventing the progression of other pathologies of the organ of vision, such as myopia, hyperopia, astigmatism, amblyopia, etc., often associated with strabismus, and sometimes resulting from the development of this disease ,

This method of treatment can be used both on an outpatient basis and in inpatient medical facilities for the treatment of strabismus.

Claims (1)

A method for treating strabismus by exposure to electric bipolar pulses, characterized in that they carry out complex treatment, including exposure to electric bipolar pulses with an amplitude of 2 ÷ 9 V, duty cycle of 8 and a frequency of 4.90 Hz; 18.5 Hz; 31.5 Hz; 64.5 Hz; 88.5 Hz; 94.5 Hz; 95.5 Hz, the effect is carried out through the brass electrodes placed on the patient’s palm, sequentially for 2–3 min each of the frequencies, then acupuncture is carried out for 25–30 min, acting on biologically active paraorbital points: V1, V2, PC3 , PC4, PC5; point E4 and auricular points: AP8, AP24a, AP246, complex treatment is carried out daily for 7 ÷ 10 days with a repeat of the treatment 2 + 4 times after 6 months.