[Darina38]

Ничего нового, но еще раз о том, что кроме 2-х кратного закапывания атропина нет пока других методов стабилизации миопии с доказаной эффективностью. Прочитть ссылки очень легко, но кто не зарегестрировался, просто сделайте это. Кстати ничего не нашла там про ирифрин, а циклопентолат - не обладает доказанной эффективностью, как и упражнения для глазных мышц. Не найдено достоверной разницы в эффективности очковой коррекции различными линзами (имеются ввиду обычная коррекция и прогрессивные и др. виды очковых линз). Ортокератология и другие виды контактной коррекции также не обладают доказанной эффективностью в стабилизации близорукости.
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Refractive Errors: Medical Therapy
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Visual Training for Refractive Errors
Про ортокератологию
Refractive Errors – Medical Therapy
Date: September 2007
Source: Refractive Errors & Refractive Surgery PPP
Subspecialty: Refractive Mgmt/Intervention
Despite the acknowledged risk of microbial keratitis associated with overnight wear, the FDA has approved some extended wear contact lenses. For instance, rigid gas permeable contact lenses are being worn overnight as a noninvasive and anatomically reversible option to refractive surgery for the treatment of mild to moderate myopia with less than 1.50 D of corneal toricity. The technique of corneal reshaping is also known as corneal refractive therapy (CRT) or orthokeratology.
Orthokeratology, as originally described, utilized the application of sequentially flatter PMMA hard contact lenses to flatten the cornea and thereby reduce the myopic refractive error. Upon discontinuation of contact lens wear, the corneas of patients who have undergone orthokeratology tend to revert to their original shape.453,454 Earlier attempts to predict which patients will respond to orthokeratology based on ocular biomechanical or biometric parameters have not been successful,455 and the effects of orthokeratology were unpredictable and poorly controlled.453 More recent studies have found that average visual acuity ranges from 20/19 to 20/24 with a refractive error ranging from +0.27 to -0.41 D after 1 to 6 months of wearing reverse geometry contact lenses.456-460 In the 1990s, there was a resurgence using highly gas-permeable rigid contact lenses for temporary corneal reshaping. In this technique, patients with myopia are fitted with reverse geometry rigid gas permeable contact lenses that are used only during sleep. The center of the contact lens is deliberately fitted flatter than central corneal curvature to transiently induce central corneal flattening, which will reverse myopia during the day when the lens is not worn. The contact lens must be used every 1 to 2 nights in order to maintain the effect. Food and Drug Administration approval has been granted for the use of this technique for temporary reduction of up to 6.0 D of myopia (in eyes with up to 1.75 D of astigmatism). Several other orthokeratology contact lenses are available.
The complications of orthokeratology overlap those of rigid contact lens wear. Corneal pigmentation rings have been reported, but these are reversible. Patients may also note a decreased quality of vision especially under low illumination conditions due to an increase in higher order aberrations. The most serious complication that has been associated is microbial keratitis, first reported in 2001.461,462 As with any overnight contact lens modality, orthokeratology is associated with an increased risk of microbial keratitis.459,463

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С уважением, Дарина.