Influence of complex application of heliox therapy and acupuncture on maximally corrected visual acuity in patients with acute form of central serous chorioretinopathy

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Abstract

Central serous chorioretinopathy is a socially significant problem, as it is one of the most common diseases of the retina. Purpose: to evaluate the effect of the combined use of heliox therapy and acupuncture on the most corrected visual acuity in patients with acute central serous chorioretinopathy. Material and methods: The study included 34 men (34 eyes) with central serous chorioretinopathy, whose average age was 36 ± 2.3 years . The patients were divided into 2 groups comparable according to clinical and laboratory data: the main one - 22 people, average age 32 ± 3.1 years, who in the first two weeks received a complex of physiotherapeutic treatment, including: heliox 21, for a course of 10 daily procedures and acupuncture, also for a course of 10 daily procedures and a control - 12 people, average age 34±1.5 years, who, after consulting a neurologist, were prescribed medication (light sedatives, the Nutrof vitamin complex, diuretics 1 time in 3 days with restoration of electrolyte balance, alcohol restriction), which served as a background in the main group. To assess the effectiveness of treatment, visometry (OV) was used. Points of control of the results: before treatment, after 2 weeks, after 1 month, 3 months, 6 months, 12 months. Results: Before treatment in patients with acute form of central serous chorioretinopathy, the maximum corrected visual acuity (BCVA) was reduced by 44.2% compared with the norm - 0.95±0.05 (p<0 .001) and comparable in the main group 0.54±0.05 and in the control group 0.53±0.05 (p=0.901). The maximum increase in visual acuity in patients of the main group was already two weeks later, with a subsequent increase in the indicator during the year, approaching the normal values ​​at the last observation point (1 year). In addition, after treatment, all patients noted a decrease in the intensity or exclusion of metamorphopsias. In the BCVA control group, significantly less significant results were obtained at all control points.

About the authors

V. M. Sheludchenko

Research Institute of Eye Diseases

Author for correspondence.
Email: scotoma@mail.ru
ORCID iD: 0000-0001-5958-3018

Doctor of Medical Sciences, Professor, Head of the Department of Ophthalmic Rehabilitation

Russian Federation, Moscow

Alina K. Dragon

Research Institute of Eye Diseases

Email: 9700744@mail.ru
ORCID iD: 0000-0003-2824-7155
SPIN-code: 1787-0013

MD, Ph, Ophthalmologist, Department of Ophthalmic Rehabilitation

Russian Federation, Moscow

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