[Long-term results of perifocal defocus spectacle lens correction in children with progressive myopia]. / Otdalennye rezul'taty ochkovoi korrektsii s perifokal'nym defokusom u detei s progressiruiushchei miopiei.

Peripheral defocus plays a significant role in the formation of refraction. Perifocal spectacles allow differentiating correction of central and peripheral refraction of the eye along the horizontal meridian and can correct or reduce peripheral hyperopia. PURPOSE: To study the long-term results of wearing perifocal spectacles on the refraction in children with progressive myopia. MATERIAL AND METHODS: Perifocal spectacles were assigned to children of 7-14 years old with progressive myopia from -1.0 to -6.0 D in terms of refractive spherical equivalent. The children were examined before the prescription of perifocal spectacles and after 6 months, 12-18 months, 2 years, 3 years and 4-5 years. We measured visual acuity, the character of vision, refractive error before and after cycloplegia, performed biomicroscopy, ophthalmoscopy and biometry. Peripheral refraction was studied at 15° and 30° points in the nasal (N15 and N30) and temporal (T15 and T30) meridians without correction and while wearing perifocal spectacles. RESULTS: In perifocal spectacles, in the 15° zone, 100% of the eyes formed myopic defocus, which averaged -0.05±0.1 D in T15°, -0.25±0.16 D in N15° and -0.44±0.03 D in T30°. In the N30° zone, the hypermetropic defocus decreased by 4 times and amounted to 0.38±0.03 D. The rate of progression of myopia decreased from 0.8 D of baseline values to 0.17 D at 4-5 years of follow-up. After 6 months of wearing perifocal spectacles, the refraction gain was -0.2±0.02 D (in the control group it was -0.38±0.04 D), after 12-18 months - (-)0.38±0.04 D (-0.63±0.09 D in the control group), after 2 years - (-)0,78±0,06 D (-1.18±0,15 D in the control group), after 3 years - (-)0.99±0.12 D (-1.65±0.20D in the control group). During the 4-5 years of the follow-up, the refractive error in the main group was -1.16±0.2 D, which is 60% less than in the control group (-1.95±0.2 D). CONCLUSION: Constant wearing of perifocal spectacles reduces the rate of myopia progression in children by 4.5 times compared with the initial rate, and by 1.6 times (by 60%) in comparison with the control group. Perifocal spectacles are recommended as optical means to slow the progression of myopia.

[The influence of different means of myopia correction on peripheral refraction depending on the direction of gaze]. / Vliianie razlichnykh sredstv korrektsii miopii na perifericheskuiu refraktsiiu v zavisimosti ot napravleniia vzora.

INTRODUCTION: Peripheral defocus was experimentally found to control the development of refraction. PURPOSE: To evaluate peripheral refraction (PR) of myopic eyes in terms of different means of correction and the direction of gaze. MATERIAL AND METHODS: The study examined 128 patients (256 eyes) aged 8-14 years (average 11.07±0.39 years) with myopia from -1.0 to -7.0 (average -3.57±0.27 D). PR was measured without correction, in perifocal (PF), monofocal (MF), progressive glasses (PAL), monofocal soft contact lenses (ΜCL) and after orthokeratological (OCL) correction with the gaze directed straightforward or head angled outward, inward, upward and downward; all measurements were performed using binocular open-field auto ref/keratometer. RESULTS: PR profile without correction and with contact (OCL, ΜCL) correction does not depend on the direction of the gaze. In glasses, peripheral defocus is different with straightforward and skewed gaze directions. OCL forms a significant myopic defocus throughout the periphery of the retina. When using MCL, hyperopic defocus increases in all zones except the extreme temporal. In MF glasses, hyperopic defocus is formed and enhanced in all areas, significantly greater with skewed gaze than with straightforward. In PALs, myopic defocus is formed with gaze directed upward and downward, as well as at the extreme temporal periphery of the retina with straightforward gaze. In all other zones, hypermetropic defocus increases. In PF, in most zones myopic defocus is formed with all gaze directions. The greatest inhibitory effect on myopia progression is provided by OCL (YPR=0.28 D/year) and PF glasses (YPR=0.26 D/year). CONCLUSION: In contrast to correction with contact lenses, PR in glasses does depend on the direction of gaze. The inhibitory effect of the optics correlates with correction of hypermetropic defocus in myopic eyes.

[Wavefront and accommodation parameters under different conditions of correction in myopia and hyperopia]. / V.V., Parametry volnovogo fronta i akkomodatsii v raznykh usloviiakh korrektsii pri miopii i gipermetropii.

PURPOSE: To compare the wavefront and accommodation parameters without correction and in soft contact lenses (SCL) in natural and cycloplegic conditions in eyes with myopia and hyperopia. MATERIAL AND METHODS: A total of 142 myopic (mean -5.6±1.4 D) and 48 hyperopic (mean +3.5±1.1 D) eyes were examined in 95 patients aged 5-32 years (mean age 16.9±0.9 years) to compare the wavefront aberrations without correction and with different SCL before and after cycloplegia (two drops of cyclopentolate hydrochloride 1%). The device was set up for 4 mm zone for both narrow and wide pupils. To compare the accommodation parameters under different correction conditions, 85 patients aged 8-23 years (mean age 14.9±0.6 years) with average myopia of (-)5.27±1.4D (123 eyes) and average hyperopia of +3.53±1.2 D (46 eyes) were chosen from the study group. Among the measured parameters are objective accommodative response (OAR), relative accommodation reserves (RAR), pseudoaccumulation amplitude (PA), higher-order aberrations: RMSHOAs, 6-9 Trefoil, 7-8 Coma, spherical aberration (SA). RESULTS: In myopic eyes with SCL Coma 7 decreases, Coma 8 increases with transition to positive values, and Trefoil 9 increases. In hyperopic eyes, trefoil 6 decreases, Coma 7-8 go negative. In myopic or hyperopic eyes with SCL, SA goes from positive to negative. In both myopia and hyperopia, accommodation and PA rates are higher in SCL than in glasses. CONCLUSION: SCL change certain wavefront parameters for myopia and hyperopia in different ways. The accommodation parameters in SCL are elevated in both myopia and hyperopia. The negative spherical aberration induced by contact lenses improves the accommodative response. The revealed features should be considered in the development of correction methods that target refractogenesis.

[Use of Endoglucanase IV from Trichoderma reesei to Enhance the Hydrolytic Activity of a Cellulase Complex from the Fungus Penicillium verruculosum].

The effect of polysaccharide monooxygenase (endoglucanase IV) from the fungus Trichoderma reesei on the hydrolysis of polysaccharide substrates by cellulases secreted by the fungus Penicillium verruculosum has been investigated. Supplementation of the enzyme complex from P. verruculosum by endoglucanase IV from T. reesei has been shown to elevate the efficiency of cellulose hydrolysis by 45%.

[Cycloplegic effectiveness of cyclopentolate and tropicamide preparations compared with atropinization]. / Tsikloplegicheskaia éffektivnost' preparatov tsiklopentolata i tropikamida v sravnenii s atropinizatsiei.

To gain a comparative estimate of cycloplegic agents with mild effect vs conventional atropinization, a study was performed on refraction in 57 children after instillations of cyclopentolate and atropine and in 57 children after instillations of tropicamide and atropine. A difference was determined in refraction after instillation of cycloplegic agents with mild effect and atropine. It turned out that by depth of cycloplegic effect cyclopentolate is reaching that of atropine. Cyclopentolate can be used in initial study of refraction in children with hypermetropic and myopic refraction and in repeated studies of any refraction. Tropicamide is less effective cycloplegic agent than cyclopentolate and thus it can be used in initial studies of refraction in children with myopia and in repeat studies of refraction in children with myopia and hypermetropia and also in cases of intolerance of other cycloplegic agents.

[Table for assessing visual acuity in children]. / Tablitsa dlia issledovaniia ostroty zreniia u detei.

A table of silhouette patterns meeting the requirements of ISO standard is developed in Russia. The aim of this work was to assess by ISO method the correspondence of visual acuity evaluated by the pattern table to visual acuity evaluated by Landolt rings and select the patterns the recognition of which is most of all similar to recognition of Landolt's rings. Visual acuity was examined by the ISO method in 10 subjects with visual acuity of 1.0. Visual acuity assessed by patterns corresponded to that assessed by Landolt's rings if the examinee was acquainted with all tests. Recognition of patterns was assessed in 22 children aged 3.5-5.5 years. Patterns which were identified in less than 50% cases were excluded from the tables. The proposed table can be used in practical ophthalmology, because the results of visometry using this table are compatible with the results of examination by means of Landolt's rings.

[Possibilities of the use of low-energy laser effects on the ciliary body in optic nystagmus]. / Vozmozhnosti primeneniia nizkoénergeticheskogo lazernogo vozdeistviia na tsiliarnoe telo pri opticheskom nistagme.

The accommodation potential of the eye is markedly reduced in patients with optic nystagmus. Trans-scleral exposure of the ciliary body to infrared low-energy laser at wavelength 1.3 microns may be used to repair the accommodation potential of the eyes and improve the visual function in nystagmus. Laser stimulation of the ciliary zone was carried out in 62 patients with optic nystagmus. As a result, the accommodation potential was 1.417 times increased and the closest point of clear vision approached the eye by 1.309 diopters. Far vision acuity increased by 1.334 times, close one by 1.258 times. A stable positive result persisted for 3 to 6 months, after which laser stimulation may be repeated, or other means of repairing the accommodation system of the eye be resorted to, such as training after Avetisov-Mats or exercises with a home ergographer.

[Disorders of electrokinetic properties of blood in patients with surgical diseases]. / Narushenie élektrokineticheskikh svoistv krovi u patsientov s khirurgicheskimi zabolevaniiami.

In examination of the patients with tumors (25), ulcer disease of the stomach and duodenum (9), urolithiasis (11), cholelithiasis (5), occlusive lesion of the arteries of the extremities (17), it was established that the most significant decrease in electrokinetic blood properties was observed in a high prothrombin index, plasma fibrinogen and electrolytes content in the blood serum. For correction of the disorders revealed, rheopolyglucin , hemodes , heparin, trental were administered intravenously.