Electrophysiological parameters in patients with the «dry» form of age-related macular degeneration treated with polarized polychromatic non-coherent light and dynamic electromyostimulation

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Abstract

Aim. To study the electrophysiological parameters in patients with the «dry» form of age-related macular degeneration before and after combined treatment with polarized polychromatic non-coherent light and dynamic electromyostimulation. Methods. Two groups of patients with the «dry» form of age-related macular degeneration were examined. Patients in the main group (40 patients, 80 eyes) were treated with a combination of polarized polychromatic non-coherent light and dynamic electromyostimulation, patients in the control group (39 patients, 78 eyes) were treated conventionally. Mean age of the patients was 71.3±1.1 years. All patients underwent standard ophthalmic examination. To assess the functional status of the macula, electroretinography was performed using the «Neuro-MVP» device (Ivanovo, Russia). A-wave amplitude and latency on the red light stimulus were examined. Results. A-wave amplitude on macular electroretinogram was 11.9% lower and A-wave latency was 20.8% higher in patients with age-related macular degeneration compared to healthy subjects. A statistically significant improvement of the A-wave amplitude and latency was observed on macular electroretinogram after the combined treatment. A-wave amplitude increased from 13.22±1.36 to 17.17±1.59 µV (p <0.01) after 2 months and up to 17.80±1.60 µV (p <0.05) after 6 months of treatment. A-wave latency decreased from 19.32±0.41 to 18.51±0.36 ms (p <0.01) after 2 months and down to 18.31±0.45 ms (p <0.05) after 6 months of treatment. There was a relevant increase in A-wave amplitude from 13.15±1.09 to 16.3±1.09 µV (p <0.01) and decrease in A-wave latency from 19.23±0.30 to 18.64±0.30 ms (p <0.05) in patients of the control group 2 months after the end of treatment. Conclusion. There were relevant increase in A-wave amplitude and decrease in A-wave latency observed on macular electroretinography after treatment. The proposed treatment method does not cause any complications and can be used as a treatment option in patients with allergic reactions to standard drugs.

About the authors

F R Saifullina

Kazan State Medical Academy, Kazan, Russia

R Z Sharafieva

Kazan State Medical Academy, Kazan, Russia; Out-patients Clinic of Kazan Scientific Centre of Russian Academy of Science, Kazan, Russia

Email: rezinshar@rambler.ru

V I Pogorel’tsev

Kazan State Medical University, Kazan, Russia

E A Abdulaeva

Kazan State Medical Academy, Kazan, Russia

References

  1. Аветисов С.Э., Киселёва Т.Н., Лагутина Ю.М., Кравчук Е.А. Влияние вазоактивных препаратов на зрительные функции и глазной кровоток у больных с ранними проявлениями возрастной макулярной дегенерации // Вестн. офтальм. - 2007. - Т. 123, №3. - С. 1-4.
  2. Журавлёва Л.В., Бойко Э.В. Опыт применения «Лютеин-форте» в лечении «сухой» формы возрастной макулярной дегенерации // Клин. офтальм. - 2007. - Т. 8, №2. - С. 72-75.
  3. Кацнельсон Л.А., Лысенко В.С., Балишанская Т.И. Клинический атлас патологии глазного дна. - М.: Медицина, 1999. - 151 с.
  4. Кацнельсон Л.А., Форофонова Т.И., Бунин А.Я. Сосудистые заболевания глаза. - М.: Медицина, 1990. - 270 с.
  5. Киселёва Т.Н., Лагутина Ю.М., Кравчук Е.А. и др. Фезам в лечении неэкссудативных форм возрастной макулярной дегенерации // Клин. офтальм. - 2005. - Т. 6, №3. - С. 99-102.
  6. Киселёва Т.Н., Лагутина Ю.М., Кравчук Е.А. Современные аспекты патогенеза, клиники и медикаментозного лечения неэкссудативных форм возрастной макулярной дегенерации // Клин. офтальм. - 2006. - Т. 7, №3. - С. 99-103.
  7. Смолякова Г.П., Лысенко В.С. Патогенетические подходы к лечению возрастных ЦИХРД. Методические рекомендации. - Хабаровск, 2000. - 35 с.
  8. Нащенкова О.В. Применение биологически активных веществ в лечении возрастной макулодистрофии // Клин. офтальм. - 2004. - Т. 5, №2. - С. 82-85.

© 2012 Saifullina F.R., Sharafieva R.Z., Pogorel’tsev V.I., Abdulaeva E.A.

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