Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure

Background: Recent studies of the clinical features and pathogenesis of the acquired, progressive and complicated myopia have evidenced that patients with this disease have reduced antioxidant defense. It is hypothesized that pharmacological correction of antioxidant defense system failure will impr...

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Main Authors: E.I. Surova, I.M. Boichuk
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2016-02-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2016/1/2-fulltext
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author E.I. Surova
I.M. Boichuk
author_facet E.I. Surova
I.M. Boichuk
author_sort E.I. Surova
collection DOAJ
description Background: Recent studies of the clinical features and pathogenesis of the acquired, progressive and complicated myopia have evidenced that patients with this disease have reduced antioxidant defense. It is hypothesized that pharmacological correction of antioxidant defense system failure will improve visual functions in myopes. Purpose: To assess the status of visual functions (including distance visual acuity, absolute reserve of accommodation and photopic light sensitivity) in patients with myopia of different degrees before and following treatment with an antioxidant medication (Fakovit). Materials and Methods: The Fakovit treatment group included 70 myopes (140 eyes) (mild myopes, n = 28; medium myopes, n = 22; high myopes, n = 20), whereas the control group included 30 aged matched myopes who did not receive Fakovit treatment. All patients underwent ophthalmic examinations including refractometry, biomicroscopy, echobiometry, ophthalmoscopy, and absolute reserve of accommodation. The uncorrected and corrected distance visual acuities (VA) were assessed using the Shevalev’s Chart, and absolute reserve of accommodation (RA) was assessed using a conventional technique. Photopic light sensitivity was assessed with the use of semi-automatic registering adaptometer. Results: An improvement in VA was achieved in 86.1% of mild and medium myopes of the treatment group. An improvement in and stabilization of RA was found in 44.4% (mainly, in mild myopes) and 38.8%, respectively, of the patients of the treatment group, and a 1.43±1.29-D reduction in RA (p < 0.05) was observed in the control group. Photopic light sensitivity of the visual system had a tendency to increase in all myopes after treatment with Fakovit (in particular, it increased statistically significantly by 0.16±0.04 log units in mild myopes), and did not change in the controls. Conclusion: Correction of antioxidant defense system failure with Fakovit improved and stabilized visual functions (visual acuity, reserve of accommodation, and photopic light sensitivity) in myopic patients.
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spelling doaj.art-b2cc2a3234a84685ad420f63dd61ef242024-01-15T09:22:39ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402016-02-01181110.31288/oftalmolzh20161811Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failureE.I. Surova0I.M. Boichuk1Filatov Institute of Eye Diseases and Tissue TherapyFilatov Institute of Eye Diseases and Tissue TherapyBackground: Recent studies of the clinical features and pathogenesis of the acquired, progressive and complicated myopia have evidenced that patients with this disease have reduced antioxidant defense. It is hypothesized that pharmacological correction of antioxidant defense system failure will improve visual functions in myopes. Purpose: To assess the status of visual functions (including distance visual acuity, absolute reserve of accommodation and photopic light sensitivity) in patients with myopia of different degrees before and following treatment with an antioxidant medication (Fakovit). Materials and Methods: The Fakovit treatment group included 70 myopes (140 eyes) (mild myopes, n = 28; medium myopes, n = 22; high myopes, n = 20), whereas the control group included 30 aged matched myopes who did not receive Fakovit treatment. All patients underwent ophthalmic examinations including refractometry, biomicroscopy, echobiometry, ophthalmoscopy, and absolute reserve of accommodation. The uncorrected and corrected distance visual acuities (VA) were assessed using the Shevalev’s Chart, and absolute reserve of accommodation (RA) was assessed using a conventional technique. Photopic light sensitivity was assessed with the use of semi-automatic registering adaptometer. Results: An improvement in VA was achieved in 86.1% of mild and medium myopes of the treatment group. An improvement in and stabilization of RA was found in 44.4% (mainly, in mild myopes) and 38.8%, respectively, of the patients of the treatment group, and a 1.43±1.29-D reduction in RA (p < 0.05) was observed in the control group. Photopic light sensitivity of the visual system had a tendency to increase in all myopes after treatment with Fakovit (in particular, it increased statistically significantly by 0.16±0.04 log units in mild myopes), and did not change in the controls. Conclusion: Correction of antioxidant defense system failure with Fakovit improved and stabilized visual functions (visual acuity, reserve of accommodation, and photopic light sensitivity) in myopic patients.https://www.ozhurnal.com/en/archive/2016/1/2-fulltextpharmacological correctionantioxidant defense systemreduced antioxidant defensemyopia
spellingShingle E.I. Surova
I.M. Boichuk
Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
Journal of Ophthalmology
pharmacological correction
antioxidant defense system
reduced antioxidant defense
myopia
title Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
title_full Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
title_fullStr Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
title_full_unstemmed Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
title_short Visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
title_sort visual function status in myopic patients before and after pharmacological correction of antioxidant defense system failure
topic pharmacological correction
antioxidant defense system
reduced antioxidant defense
myopia
url https://www.ozhurnal.com/en/archive/2016/1/2-fulltext
work_keys_str_mv AT eisurova visualfunctionstatusinmyopicpatientsbeforeandafterpharmacologicalcorrectionofantioxidantdefensesystemfailure
AT imboichuk visualfunctionstatusinmyopicpatientsbeforeandafterpharmacologicalcorrectionofantioxidantdefensesystemfailure