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Diagnostics and comprehensive recovery treatment of an astenic form of accommodative astenopia in an asteno-neurotic state of psychosomatic genesis. A clinical case

https://doi.org/10.21516/2072-0076-2020-13-4-83-86

Abstract

Rehabilitation treatment of a patient with symptoms of computer visual syndrome and concomitant asthenic form of accommodative asthenopia in an asthenic-neurotic state of psychosomatic genesis is discussed. The treatment was based on an integrated approach that takes into account diagnostic criteria (the volume of absolute accommodation, indicators of objective accommodation, the severity of asthenopia, the state of psychological adaptation) and the basic principles of medical and rehabilitation measures, including, along with traditional methods of correcting asthenic-neurotic states, sequential and staged physiotherapeutic and optical-reflex effects on the accommodative system of the eye.

About the Authors

I. G. Ovechkin
3rd Central Military Clinical Hospital, Branch 2
Russian Federation

Igor G. Ovechkin — Dr. of Med. Sci., professor, head of the medical office (vision rehabilitation)

11, Levoberezhnaya St., Moscow, 125445



V. E. Yudin
3rd Central Military Clinical Hospital, Branch 2
Russian Federation

Vladimir E. Yudin — Dr. of Med. Sci., professor, head

11, Levoberezhnaya St., Moscow, 125445



I. S. Gadzhiev
Stavropol State Medical University
Russian Federation

Imran S. Gadzhiev — ophthalmologist of the Eye Microsurgery Clinic

310, Mira St., Stavropol, 355017



A. A. Kozhukhov
Academy of Postgraduate Education
Russian Federation

Arseniy A. Kozhukhov — Dr. of Med. Sci., associate professor, professor of chair of ophthalmology

91, Volokolamsk Hgwy, Moscow,125371



E. I. Belikova
Academy of Postgraduate Education
Russian Federation

Elena I. Belikova — Dr. of Med. Sci., professor of chair of ophthalmology

91, Volokolamsk Hgwy, Moscow,125371



References

1. Efimova E.L., Brzhesky V.V., Alexandrova A.S. Visual disorders caused by using electronic textbooks and prospects of their correction (preliminary report). Russian ophthalmological journal. 2015; 2: 27–33 (in Russian).

2. Mykolnikova E.S., Egorova A.V., Lyalin A.N. The use of the Visotronic MZ apparatus in the treatment of computer visual syndrome. Vestnik Orenburgskogo gosudarstvennogo universiteta. 2011; 14 (133): 274–7 (in Russian).

3. Jaiswal S., Asper L., Long J., et al. Ocular and visual discomfort associated with smartphones, tablets and computers: what we do and do not know. Clin. Exp. Optom. 2019 Sep; 102 (5): 463–77. doi: 10.1111/cxo.12851

4. Rosenfield M. Computer vision syndrome: a review of ocular causes and potential treatments. Ophthalmic Physiol. Opt. 2011 Sep; 31 (5): 502–15. doi: 10.1111/j.14751313.2011.00834.x

5. Proskurina O.V., Tarutta E.P., Iomdina E.N., Strakhov V.V., Brezhsky V.V. A modern classification of asthenopias: clinical forms and stages. Russian ophthalmological journal. 2016; 9 (4): 69–73 (in Russian). https://doi.org/10.21516/2072-0076-2016-9-4-69-73

6. Vorontsova T.N. Results of medication therapy of habitually excessive tension of accommodation in children and higher-school students. Russian ophthalmological journal. 2016; 9 (2): 18–21 (in Russian). https://doi.org/10.21516/2072-0076-20169-2-18-21

7. Tarutta E.P., Iomdina E.N., Tarasova N.A. Nonsurgical treatment of progressive myopia. Russian medical journal. Clinical ophthalmology. 2016; 4: 204–10 (in Russian).

8. Emelyanov G.A. The state of accommodation as an indicator of chronic fatigue syndrome in patients with visually-intense work. Cataract and refractive surgery. 2013; 1: 23–5 (in Russian).

9. Shchukin S.Yu. Medical and psychological aspects of carrying out keratorefractive surgery by military specialists. Voenno-medicinskij zhurnal. 2013; 134 (1): 60–2 (in Russian).

10. World Medical Association. Declaration of Helsinki: Ethical principles for medical research involving human subjects. November 22, 2010. Available at: https://www.wma.net/policiespost/

11. Federal clinical guidelines “Diagnosis and treatment of myopia in children”. Rossiiskaya pediatricheskaya oftal'mologiya. 2014; 2: 49–62 (in Russian).

12. Zaitsev V.P., Ayvazyan T.A. Assessment of the level of psychological maladjustment in somatic diseases at the stage of rehabilitation treatment. Novye meditsinskie tekhnologii. Novoe meditsinskoe oborudovanie. 2008; 9: 12–18 (in Russian).

13. Shakula A.V., Emelyanov G.A. The effectiveness of the objective accommodography in assessing functional disorders of accommodation in patients with visually-intense work. Vestnik vosstanovitel'noj meditsiny. 2013; 2: 32–5 (in Russian).

14. Tarutta E.P., Tarasova N.A. Comparative evaluation of the effectiveness of various methods of treatment of accommodation disorders and acquired progressive myopia. Vestnik oftal'mologii. 2015; 1: 24–8 (in Russian). doi: 10.17116/oftalma2015131124-28

15. Pashkov V.A., Gadzhiev I.S., Ledovskoy I.F. A method for training absolute accommodation and the device for its implementation. Patent RU 2 704 781, 30.10.2019 (in Russian).

16. Shakula A.V., Emelyanov G.A., Shchukin S.Yu. Modern methods of physiotherapeutic effects on the accommodation-refractive system of the eye. Vestnik vosstanovitel'noj meditsiny. 2012; 4: 68–72 (in Russian).

17. Ovechkin I.G., Yudin V.E., Matvienko V.V., Emelyanov G.A., Shakula A.V. Accommodative disorders in subjects involved in intensive visual work with symptoms of psychological maladjustment. Russian ophthalmological journal. 2014; 1: 39–41 (in Russian).

18. Ovechkin I.G, Grishchenko I.V. On the issue of classification signs of asthenopia. Sovremennaya optometriya. 2017; 5: 8–9 (in Russian).


Review

For citations:


Ovechkin I.G., Yudin V.E., Gadzhiev I.S., Kozhukhov A.A., Belikova E.I. Diagnostics and comprehensive recovery treatment of an astenic form of accommodative astenopia in an asteno-neurotic state of psychosomatic genesis. A clinical case. Russian Ophthalmological Journal. 2020;13(4):83-86. (In Russ.) https://doi.org/10.21516/2072-0076-2020-13-4-83-86

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ISSN 2072-0076 (Print)
ISSN 2587-5760 (Online)