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1.
Vestn Oftalmol ; 140(3): 88-94, 2024.
Artículo en Ruso | MEDLINE | ID: mdl-38962984

RESUMEN

The current primary approach to the therapeutic and surgical management of glaucoma is limited to lowering intraocular pressure (IOP). While normalization of IOP stabilizes some functional parameters, there is still potential for further restoration of lost visual function in the post-operative period while maintaining the "therapeutic window". Neuroprotection refers to the modification of retinal ganglion cells and the neuronal microenvironment to promote their survival and function. Numerous studies have identified effective neuroprotective methods for glaucoma; however, their implementation into clinical practice remains a significant challenge. This review presents the most clinically significant treatment strategies, as well as the latest therapeutic advances in physiotherapy.


Asunto(s)
Glaucoma , Enfermedades del Nervio Óptico , Modalidades de Fisioterapia , Humanos , Glaucoma/cirugía , Glaucoma/fisiopatología , Glaucoma/etiología , Enfermedades del Nervio Óptico/etiología , Enfermedades del Nervio Óptico/diagnóstico , Enfermedades del Nervio Óptico/terapia , Presión Intraocular/fisiología , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/prevención & control , Complicaciones Posoperatorias/terapia , Células Ganglionares de la Retina/patología
2.
Vestn Oftalmol ; 139(3. Vyp. 2): 113-127, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37144377

RESUMEN

Ophthalmic rehabilitation consists of improving or maintaining the functions of the visual analyzer within the possibilities of the "therapeutic window". Ophthalmic rehabilitation involves physiotherapeutic methods, as well as additional ones that improve the condition of the body and indirectly affect the organ of vision. This article presents schematic algorithms of physiotherapeutic ophthalmic stimulation in neurodystrophic diseases of the visual organ and the main results of their multifactorial objective and subjective analysis. It was shown that even with the consistent visual resolution, treatment courses can help get positive changes at the level of nerve structures lasting for three to six months. This allows us to recommend physiotherapeutic ophthalmic stimulation for maintaining the therapeutic effects obtained after the main medical or surgical treatment.


Asunto(s)
Ojo , Modalidades de Fisioterapia , Humanos
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