helmholtzeyeinstituteРоссийский офтальмологический журналRussian Ophthalmological Journal2072-00762587-5760Real time Publishers10.21516/2072-0076-2019-12-2-49-58helmholtzeyeinstitute-273Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL STUDIESСостояние и динамика волнового фронта глаза у детей с различной рефракцией на фоне регулярных занятий спортом (бадминтоном)The state and dynamics of the wavefront of the eye in children with different refractions engaged in regular sport activities (badminton)ТаруттаЕ. П.TaruttaE. P.

д-р мед. наук, профессор, начальник отдела патологии рефракции бинокулярного зрения и офтальмоэргономики

105062, Москва, ул. Садовая-Черногрязская, д. 14/19

Dr. Med. Sci., Professor, head, department of refractive pathology, binocular vision and ophthalmoergonomics

14/19, Sadovaya-Chernogryazskaya St., 105062, Moscow

 

tar221@yandex.ruТарасоваН. А.TarasovaN. A.

канд. мед. наук, старший научыцй сотрудник отдела патологии рефракции бинокулярного зрения и офтальмоэргономики

105062, Москва, ул. Садовая-Черногрязская, д. 14/19

Cand. Med. Sci., senior researcher, department of refractive pathology, binocular vision and ophthalmoergonomics

14/19, Sadovaya-Chernogryazskaya St., 105062, Moscow 

МаркосянГ. А.MarkossianG. A.

д-р мед. наук, ведущий научный сотрудник отдела патологии рефракции бинокулярного зрения и офтальмоэргономики

105062, Москва, ул. Садовая-Черногрязская, д. 14/19

Dr. Med. Sci., leading researcher, department of refractive pathology, binocular vision and ophthalmoergonomics

14/19, Sadovaya-Chernogryazskaya St., 105062, Moscow 

ХоджабекянН. В.KhodzhabekyanN. V.

канд. мед. наук, ведущий научный сотрудник отдела патологии рефракции бинокулярного зрения и офтальмоэргономики

105062, Москва, ул. Садовая-Черногрязская, д. 14/19

Cand. Med. Sci., leading researcher, department of refractive pathology, binocular vision and ophthalmoergonomics

14/19, Sadovaya-Chernogryazskaya St., 105062, Moscow 

АрутюнянС. Г.HarutyunyanS. G.

канд. мед. наук, врач-офтальмолог, старший научный лаборант

105062, Москва, ул. Садовая-Черногрязская, д. 14/19

127473, Москва, ул. Делегатская, д. 20, стр. 1

Cand. Med. Sci., ophthalmologist1, senior research assistant

14/19, Sadovaya-Chernogryazskaya St., 105062, Moscow 

20, Bldg. 1, Delegatskaya St., 127473, Moscow

ГеоргиевС.GeorgievS.

студент

119991, Москва, ул. Трубецкая, д, 8, стр. 2

student

8/2, Trubetskaya st., Moscow,119991

ФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава РоссииРоссияMoscow Helmholtz Research Institute of Eye DiseasesRussian FederationФГБУ «Московский НИИ глазных болезней им. Гельмгольца» Минздрава России; ФПДО ГБОУ ВПО МГМСУ им. А.И. Евдокимова Минздрава РоссииРоссияMoscow Helmholtz Research Institute of Eye Diseases; Moscow Evdokimov State Medical Stomatological University, Faculty of Postgraduate EducationRussian FederationПервый МГМУ им. И.М. СеченоваРоссияI.M.Sechenov First Moscow State Medical UniversityRussian Federation2019110620191224958Copyright © Тарутта Е.П., Тарасова Н.А., Маркосян Г.А., Ходжабекян Н.В., Арутюнян С.Г., Георгиев С., 20192019Тарутта Е.П., Тарасова Н.А., Маркосян Г.А., Ходжабекян Н.В., Арутюнян С.Г., Георгиев С.Tarutta E.P., Tarasova N.A., Markossian G.A., Khodzhabekyan N.V., Harutyunyan S.G., Georgiev S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://roj.igb.ru/jour/article/view/273

Целью настоящей работы явился сравнительный анализ уровня аберраций, структуры волнового фронта, его реакции на циклоплегию у детей с различной рефракцией до и через год после регулярных занятий спортом (бадминтоном).

Материал и методы

Материал и методы. Обследовано 40 детей (80 глаз) с аномалиями рефракции от +6,63 до -6,75 дптр (в среднем -1,28 ± 2,28 дптр) в возрасте от 7 до 11 лет (в среднем 9,24 ± 1,06 года) до, через 6 мес (38 детей, 72 глаза) и 1 год (27 детей, 54 глаза) занятий бадминтоном. Всем пациентам проводили аберрометрию волнового фронта до и после циклоплегии на аберрометре OPD-Scan III (Nidek). Анализировали коэффициенты Цернике до 12-го порядка включительно: вертикальный и горизонтальный наклон (tilt 1, tilt 2), вертикальный и горизонтальный трефойл (trefoil 6, trefoil 9), вертикальную и горизонтальную кому (coma 7, coma 8), сферическую аберрацию (СА), среднеквадратичное отклонение от идеального волнового фронта (RMS).

Результаты

Результаты. Установлено, что СА при миопии отрицательная, при гиперметропии положительная; tilt 1, tilt 2, trefoil 9, coma 7 при миопии достоверно выше, а coma 8 достоверно ниже, чем при гиперметропии. Наклон волнового фронта (tilt 1, tilt 2) в условиях циклоплегии достоверно снижается в гиперметропических глазах и не изменяется в миопических. Последнее свидетельствует о недостаточном натяжении цинновых связок миопического глаза. На фоне регулярных занятий бадминтоном отмечаются достоверные изменения аберраций волнового фронта, свидетельствующие об укреплении связочного аппарата хрусталика и нормализации тонуса цилиарной мышцы.

Заключение

Заключение. Структура волнового фронта у детей с различной рефракцией достоверно различается. Занятия бадминтоном способствуют укреплению связочного аппарата хрусталика.

The paper is aimed at comparing the level of aberrations, structure of the wavefront, and its response to cycloplegia in children with different refractions before they started practicing badminton regularly and after a year’s duration of this practice.

Material and methods

Material and methods. 40 children (80 eyes) with refractive errors from +6.63 to -6.75 D (average -1.28 ± 2.28 D) aged 7 to 11 years (average 9.24 ± 1.06 years) were examined before the practice, 6 months after practice start (38 children, 72 eyes) and after 1 year of badminton playing (27 children, 54 eyes). All patients underwent wavefront aberrometry before and after cycloplegia on an OPD-Scan III (Nidek) aberrometer. We analyzed Zernike coefficients up to the 12th order inclusive: vertical and horizontal slope (tilt 1, tilt 2), vertical and horizontal trefoil (trefoil 6, trefoil 9), vertical and horizontal coma (coma 7, coma 8), spherical aberration (SA), mean square deviation from the ideal wavefront (RMS).

Results

Results. SA in myopia was found to be negative, in hyperopia positive; tilt 1, tilt 2, trefoil 9, coma 7 in myopia were significantly higher, and coma 8 significantly lower than in hyperopia. The slope of the wavefront (tilt 1, tilt 2) in cycloplegia falls significantly in hyperopic eyes and does not change in myopic ones. The latter fact points to insufficient tension of Zinn ligaments in the myopic eye. Regular badminton practice results in significant changes in wavefront aberrations, indicating a strengthening of the ligaments of the lens and the normalization of the ciliary muscle tone.

Conclusions

Conclusions. The structure of the wavefront in children with different refractions shows significant differences. Badminton helps strengthen the ligaments of the lens.

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The authors declare that there are no conflicts of interest present.