[Current status on the pathogenesis of progressive myopia]. 2015

I O Tserediani

In the article shown is the modern diagnostic method of progressive myopia pathogenesis. Establishment of possible myopia progress using the ultrasonographic biometry while looking into and into and down contact equator at one and the same point. The research goal is to study the residual deformative changes developed as a result of sclera distraction during reading. We have researched 150 patients. The patients were split in three groups according to the age and myopia type: I group included patients of the age of 5-12 years; the II group had patients of the age of 13-19 years; III group - patients above the 19 years. The used age differentiation is based on the eye anatomic growth criteria. The research was held by the following scheme: all the researches patients underwent the preliminary anesthesia drops instillation; the ultrasonographic biometry catheter was put using one and the same equator point. In the first position they established the front and back axis size, in the second one - the eye size was established in the medial look regime; in the third position - the eye size was established in the reading regime. The data obtained are as follows: among the first group patients, aged from 5 to 12 years, in reading regime the eye size was increased in 93% cases; among the second group patients, aged from 13 to 19 years, in reading regime the eye size was increased in 90% cases; among the third group patients, aged above 19 years - 91% cases. The reason why the sclera capsule distraction during reading regime is that of the extraocular muscles and growth of the intraocular pressure influence the process. Because the sclera is fibrotic membrane, it is characterized with well-marked elasticity, stronger accommodation and the sigh load in the near distance causes sclera capsule distraction. After the contraction the residual deformation stays there. Accumulation of such residual deformations causes the sclera weakness and formation of myopia as a disease. According to the data obtained, it is necessary to work out the certain recommendations, from the sclera nutrition and other medical preparations standpoint. Improvement of the sclera nutrition will slacken the residual changes in sclera, and this will significantly decrease the myopic disease advancing.

UI MeSH Term Description Entries
D007429 Intraocular Pressure The pressure of the fluids in the eye. Ocular Tension,Intraocular Pressures,Ocular Tensions,Pressure, Intraocular,Pressures, Intraocular,Tension, Ocular,Tensions, Ocular
D008297 Male Males
D011932 Reading Acquiring information from text.
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012590 Sclera The white, opaque, fibrous, outer tunic of the eyeball, covering it entirely excepting the segment covered anteriorly by the cornea. It is essentially avascular but contains apertures for vessels, lymphatics, and nerves. It receives the tendons of insertion of the extraocular muscles and at the corneoscleral junction contains the CANAL OF SCHLEMM. (From Cline et al., Dictionary of Visual Science, 4th ed) Scleral Spur,Scleral Spurs,Scleras

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