EXPERIENCE OF USE OF THE EXTENDED COMPLEX OF OPHTHALMONONEUROSTIMULATION IN PATIENTS WITH NON-EXUDATIVE ATROPHIC (GEOGRAPHIC) FORM OF AGE-OF-AGED MACULAR DEGENERATION

Non-exudative atrophic (geographic) macular degeneration of the retina is one of the causes of irreversible loss of central vision in the elderly. Its frequency of occurrence increases with age. Objective: to evaluate the effectiveness of the extended complex of ophthalmoneurostimulation in patients with non-exudative atrophic (geographical) form of age-related macular degeneration. Material and Methods: The study included 49 people (98 eyes) with geographic retinal atrophy, whose average age was 74±1.7 years, who were divided into 2 groups: group 1 - 24 patients (48 eyes) aged 71.0±1.8 years, who underwent an extended complex of ophthalmoneurostimulation, including a course of endonasal electrophoresis of vitamin B12 (for a course of 10 u/d procedures), transocular IR stimulation (for a course of 10 u/d procedures), oxygen therapy with Heliox-21 breathing mixture (for a course of 10 u/d procedures). ) and acupuncture (for a course of 10 i / d procedures) and group 2 - 25 patients (50 eyes) aged 75 ± 1.1 years, who underwent a course of conservative treatment with vitamins according to existing ophthalmological standards, which served as a background in group 1. Visual acuity was assessed ( OZ), indicators of OCT and angio-OCT of the retina, local photosensitivity, autofluorescence of the retina and bioelectric potential in pattern ERG. Studies were performed before therapy, after 2 weeks, 3 months, 6 months. and 12 months. after a course of treatment. Results: Visual acuity and anatomical parameters of the retina in high resolution (thickness of the central zone and the thickness of the choroid) did not change during the entire observation period. Analysis of light sensitivity showed a significant normalization of the average threshold of retinal photosensitivity when prescribing an extended complex of ophthalmoneurostimulation. Conclusion: Conducted extended course of physiotherapy significantly reduced the functional depression of the central visual field, coordinating with foci of RPE atrophy. Most likely, this positive effect was achieved due to the activation of the level of the ganglionic and bipolar layers of the retina.