title: [Comparative evaluation of the effectiveness of various treatment modalities for accommodation disorders and acquired progressive myopia].
abstract: OBJECTIVE
  To evaluate the effectiveness of non-surgical treatment of accommodation disorders and progressive myopia in children.
  
  
  METHODS
  A total of 190 patients (380 eyes) with myopia aged from 6 to 18 years (10.79±0.18 years on average) were enrolled and divided into 9 groups depending on the treatment prescribed.
  
  
  RESULTS
  Comparative evaluation of different hardware-based treatment modalities for progressive myopia allowed to work out their optimal combination: "Visotronic", "MACDEL 09", and magnetophoresis of Taufon 4%. Such courses, provided twice a year, were associated with optimization of accommodative response and 1.9-2.8 times reduction of the rate of myopia progression. On the contrary, pleoptic therapy showed a negative effect on accommodative tonus and the rate of progression of acquired myopia.
  
  
  CONCLUSIONS
  Comparative evaluation of different hardware-based treatment modalities for progressive myopia and accommodation disorders allowed to work out their optimal combination: "Visotronic", "MACDEL 09" and magnetophoresis of Taufon 4%. This treatment, provided twice a year, allows to increase accommodative reserves and volume, improve objective accommodative response, and reduce accommodative hypertonus as well as the rate of myopia progression (1.9-2.8 times over a 1.5-year period). Under pleoptic therapy (specialized software, near field speckles, color pulse therapy, Ambliokor device), both accommodative tonus and the rate of myopia progression increased (1.3-1.5 and 1.6 times correspondingly).
authors: Moscow Helmholtz Research Institute of Eye Diseases, Ministry of Health of the Russian Federation, 14/19 Sadovaya-Chernogryazskaya St., Moscow, Russian Federation, 105062.
authors: E P
authors: EP
authors: Tarutta
authors: Moscow Helmholtz Research Institute of Eye Diseases, Ministry of Health of the Russian Federation, 14/19 Sadovaya-Chernogryazskaya St., Moscow, Russian Federation, 105062.
authors: N A
authors: NA
authors: Tarasova
mesh_terms: D000065:Accommodation, Ocular / Q000502:physiology*; D000293:Adolescent; D002648:Child; D018450:Disease Progression; D005500:Follow-Up Studies; D006801:Humans; D009216:Myopia / Q000503:physiopathology / Q000628:therapy*; D015835:Ocular Motility Disorders / Q000503:physiopathology / Q000628:therapy*; D009988:Orthoptics / Q000379:methods*; D012029:Refraction, Ocular / Q000502:physiology*; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity