The results of treatment of patients with the second stage of primary open-angle glaucoma with the method of photomyostimulation
Aim. To assess the effectiveness of the method of photomyostimulation in the treatment of patients with primary open-angle glaucoma (POAG) of the second stage with compensated intraocular pressure (IOP).Materials and methods. There were examined 20 patients with POAG and compensated IOP. The treatment was carried out on the device - photobiostimulation eye care (FMS-1). The course of treatment included 10 sessions. The duration of session was 10 minutes with the optimal frequency of movement of the impulse in the chaotic mode in scotopic conditions. The patient followed the movement of the test object for 1 minute, then they had 1 minute of rest. Treatment effectiveness was assessed by the change of functional mobility of the oculomotor system by the frequency of the impulses (PRF in Hz), lability of the visual analyzer by indicators of critical frequency of the merger of flashings (CFFF, Hz) and the critical frequency of flicker (CCPM, Hz). After the treatment, there was evaluated the data of the static computer perimetry and tonography.Results. Before the treatment, the indicators of the CPI in all three modes (horizontal, vertical, and chaotic) were significantly below the norm. After the treatment they improved to normal values statistically significant. Functional lability of the visual analyzer on the indicator CFFF, and the increased CCPM before and after treatment were not significantly different from the norm. After the treatment, there was significantly improved the hydrodynamics of the eye; the ratio of lightness of outflow increased by 17.2% with the decrease of the coefficient of Becker by 16.2%, and increase of the rate of formation of watery moisture by 18.9%. The average deviation of retinal sensitivity (MD) increased significantly by 9.9%. The average sensitivity of the retina for all threshold values (MS) was also significantly increased by 8.9%. There was also observed a significant expansion of the total field of view for 8 quadrants by 7.2% after treatment.Conclusion. The obtained data indicate the possibility of inclusion of the offered method of photobiostimulation in the complex treatment of patients with POAG. It will significantly improve the quality of life of these patients.