EUROMEDICA  Hanover 1-2  Juni 2007	Advanced methods of diagnosis, treatment and prophylactics
	European Academy of Natural Sciences, Hanover European Scientific Society, Hanover Russian Academy of Natural Sciences, Moscow

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The increasing number of children with myopia leads to high level of disability in case of myopia malignancy which strongly demands a search of effective preventive measures and its treatment.

Acquired myopia develops in a postnatal period. The most important factors, defining etiology of acquired myopia are: genetic, age-specific, strain, stress.

For treatment of children with myopia it is necessary to take into consideration all these etiopathogenetic mechanisms.

The aim of this research is to estimate the efficiency of a complex treatment of myopia in children.

Materials and methods: analysis of the efficiency of complex treatment was carried out in the period 2003 - 2006 in the age group of 7-18 years. The following methods were used:

1. Improving the general condition of a child’s health
2. Timely and adequate glass and contact correction
3. Physiological methods of treatment (trainings, accommodations and apparatus methods of treatment) Trainings of cilia muscle with the help of changeable lens by Avetisov-Mats method, method of divergent desaccomodation by Dashevski, mixed method of micro dimness for closeness, training exercises “an object on the window”, computer-based program RELAX, EYE, instillation of 2,5% Irifrin solution or in combination with 0,5% Mydriacyl solution and 1% Cyclomed a day before going to bed during 1 month, electrophoresis endonasal with unstable spasmesympatomimetic, with moderate stable spasme-sympatomimetic + cholinolitic, with stable – cholinolitic, electrophoresis according to Burgenion, temporal blockades with Vitamin B12.
4. The following was prescribed for improvement of the eye homodynamics: Orthopedic treatment (massage of neck zone, electrophoresis of the neck zone with euphillinum, classes of medical gymnastics, preparations containing Ca). Neurological vascular treatment (vasohypotonic preparations - Caviton, phesam, piracetam; vasostrengthening preparations – ascorutin). Vitamins with microelements, preparations with bilberry, B-carotene. Bioregulators of cell metabolism – retinalamin, ophtalamin, with selective effect on eye cell substance accelerating restoration of sight.

The criteria for efficiency of the treatment were: visual acuity, static refraction, the force of corrctive glasses before and after the treatment, reserve of relative accommodation.

Conclusions and suggestions

The use of new methods for treatment of progressing myopia and spasm of accommodation such as electrostimulation, laser stimulation, computer programs as the addition to the conventional treatment enables to decrease progressing of myopia, to restore the reserve of accommodation, to decrease the asthenope complaint, which means to preserve and improve children sight functions. The courses of treatment are repeated every 4-6 months.

For prophylaxis earlier identification of children with refractive disturbances and educational work with their parents is recommended.