On the participation of accommodation in the dynamics of myopia progression in children
Abstract
Accommodation disorders in a similar clinical picture have different pathogenesis, different biomechanics, different effect on refractogenesis and on progression of myopia. The authors believe that different qualitative states of accommodation have different effects on the rate of myopia progression. The highest rate of myopia progression is observed in children with accommodative disorders, characterized by high rates of accommodation lag. When choosing the optimal correction for children with myopia, an individual approach is necessary, taking into account the magnitude of the decrease in accommodative response. The effect of accommodation disorders on the rate of myopia progression in children can be reduced by prescribing of correction that affects peripheral refraction (ortho-K lenses, defocusing, multifocal contact lenses, etc.).
About the Authors
N. V. Khvatova
центр восстановления зрения «Оптикор»
Russian Federation
Russian Federation
N. N. Slyshalova
центр восстановления зрения «Оптикор»
Russian Federation
Russian Federation
References
1. Ковалевский Е.И. Глазные болезни. - М., 1986.
2. Аветисов Э.С. Близорукость. - 2-е изд., перераб. и доп. -М., 1999.
3. Онуфрийчук О.Н., Розенблюм Ю.З. Закономерности рефрактогенеза и критерии прогнозирования школьной миопии // Вестник офтальмологии. - 2007. - № 1. - С. 22-24.
4. Hung G.K., Ciuffreda K.J. An incremental retinal defocus theory of the development of myopia // Comments Theor. Biol. - 2003. -Vol. 8. - P. 511-538.
5. Smith E.L. 3rd и соавт. Effects of foveal ablation on emmetropization and form-deprivation myopia // Invest. Ophthalmol. Vis. Sci. - 2007. - Vol. 48. - № 9. - P. 3914-3922.
6. Smith E.L. 3rd. Prentice Award Lecture 2010: A case for peripheral optical treatment strategies for myopia // Optom. Vis. Sci. - 2011. - Vol. 88. - № 9. - P. 1029-1044.
7. Wallman J., Winawer J. Homeostasis of eye growth and the question of myopia // Neuron. - 2004. - Vol. 43. - № 4. - P. 447-468.
8. Тарутта Е.П. Часть 6. Осложненная близорукость. Вопросы патогенеза, клиники, лечения и профилактики // Избранные лекции по детской офтальмологии. - М., 2009. -С. 102-125.
9. Лагасе Ж.П. Теория изменения ретинального дефокуса и прогрессирование миопии // Вестник оптометрии. - 2011. -№ 1. - С. 48-57.
10. Allen P.M., O'Leary D.J. Accommodation functions: codependency and relationship to refractive error // Vision Res. -2006. - Vol. 46. - № 4. - P. 491-505.
11. Gwiazda J. и соавт. A randomized clinical trial of progressive addition lenses versus single vision lenses on the progression of myopia in children // Invest. Ophthalmol. Vis. Sci. - 2003. -Vol. 44. - № 4. - P. 1492-1500.
Review
For citations:
Khvatova N.V., Slyshalova N.N. On the participation of accommodation in the dynamics of myopia progression in children. The EYE GLAZ. 2018;20(3 (122)):20-25. (In Russ.)
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