The rationale for application of magnetic stimulation in case of accommodative Disorders in children with school myopia Depending on the neural vegetative status

    Abstract

    The rationale for application of magnetic stimulation in case of accommodative Disorders in children with school myopia Depending on the neural vegetative status

    D.A. Dubko, G.P. Smolyakova, V.V. Egorov

    The Khabarovsk Branch of the S. Fyodorov Eye Microsurgery Federal State Institution, Khabarovsk
The Institute of Advanced Training for Public Health Specialists of the Health Ministry of Khabarovsk Krai, Khabarovsk

    Purpose. Assessment of therapeutic efficiency of magnetic stimulation (MS) in case of accommodative violations in children with school myopia in interrelation with features of their vegetative status.

    Material and methods.Clinical researches were performed in 22 children (44 eyes) with school progressive myopia aged from 7 to 11 years (mean 8.7±1.5 years). All children received the MS using the AMO-ATOS Device with the «Ogolovie» console Daily within 10 Days.

    For an assessment of MS efficacy, accommodation indexes were investigated as follows: the position of the nearest and most Distant points of clear vision, reserve of the relative accommodation. The calculation of total accommodative coefficient of effectiveness was carried out as well.

    Results. High positive results of treatment was achieved in children with vagotonia and Sympatico-tonic orientation of vegetative reactivity. A moderate medical effect of the MS was obtained in children with normotonia and normal or asympathotonic types of vegetative reactivity. The lack of therapeutic effect of the MS was noted in children with sympathicotonia with a hypersympathicotonic orientation of vegetative reactivity.

    Conclusions.The index of therapeutic efficiency of the MS in case of accommodative Disorders in children with the school myopia is Defined by features of the initial vegetative tonus and the vegetative reactivity of organism. Vagotonia with sympathicotonic vegetative reactivity is a favorable basis to perform the MS of ciliary muscle in case of accommodative Disorders in children with the school myopia. At the choice stage among preformed physical factors of adequate physiotherapeutic tactics for stimulation of weakened accommodation in children with myopia, it is important in essence to consider sympathotonic MS orientation.

    Key words: progressive myopia, accommodative violations, magnetic stimulation, vegetative nervous system.