Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration

Background. Age-related macular degeneration (AMD) comprises 12.5% and 22% in the structure of ocular incapacitation among persons of working and pension age, respectively. The important role in the pathogenesis of AMD belongs to ocular hemodynamics disorders. The lack of efficacy of a therapy for A...

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Main Authors: V.V. Savko Snr, V.V. Savko Jnr
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2017-06-01
Series:Journal of Ophthalmology
Subjects:
Online Access:https://www.ozhurnal.com/en/archive/2017/3/3-fulltext
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author V.V. Savko Snr
V.V. Savko Jnr
author_facet V.V. Savko Snr
V.V. Savko Jnr
author_sort V.V. Savko Snr
collection DOAJ
description Background. Age-related macular degeneration (AMD) comprises 12.5% and 22% in the structure of ocular incapacitation among persons of working and pension age, respectively. The important role in the pathogenesis of AMD belongs to ocular hemodynamics disorders. The lack of efficacy of a therapy for AMD determines the need to search for new drugs which would improve ocular hemodynamics in the disease. Purpose. To study the effect of phosphocreatine on ocular hemodynamics and the functional state of the macular area in patients with dry age-related macular degeneration. Material and Methods. Twenty-three patients (36 eyes) comprised Study group in which a complex therapy included phosphocreatine as a Neoton drug, in a dose of 1 g diluted in 50 ml of 0.9% sodium chloride, for 8 days. Twenty-five patients (39 eyes), comprising Control group, did not receive phosphocreatine in their treatment. Each patient was performed ultrasonic Doppler examination of the ophthalmic artery and a photostress test. Results. After treatment, the values of Doppler examination and photostress test were improved only in patients of Study group. Maximal and minimal blood flow velocity in the ophthalmic artery increased by 29% and 30%, respectively; vascular resistance index decreased by 14%; and photostress recovery time decreased by 33%. These indices did not change significantly in Control group patients. Conclusions. Inclusion of the phosphocreatine-containing drug in the complex therapy for the patients with dry AMD corrects ocular hemodynamics disorders, improves the functional state of the macular area and improves treatment outcomes.
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spelling doaj.art-da07d701f35f471c9da6a0fdb1600ebc2024-01-11T08:18:18ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402017-06-013151910.31288/oftalmolzh201731519Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degenerationV.V. Savko SnrV.V. Savko JnrBackground. Age-related macular degeneration (AMD) comprises 12.5% and 22% in the structure of ocular incapacitation among persons of working and pension age, respectively. The important role in the pathogenesis of AMD belongs to ocular hemodynamics disorders. The lack of efficacy of a therapy for AMD determines the need to search for new drugs which would improve ocular hemodynamics in the disease. Purpose. To study the effect of phosphocreatine on ocular hemodynamics and the functional state of the macular area in patients with dry age-related macular degeneration. Material and Methods. Twenty-three patients (36 eyes) comprised Study group in which a complex therapy included phosphocreatine as a Neoton drug, in a dose of 1 g diluted in 50 ml of 0.9% sodium chloride, for 8 days. Twenty-five patients (39 eyes), comprising Control group, did not receive phosphocreatine in their treatment. Each patient was performed ultrasonic Doppler examination of the ophthalmic artery and a photostress test. Results. After treatment, the values of Doppler examination and photostress test were improved only in patients of Study group. Maximal and minimal blood flow velocity in the ophthalmic artery increased by 29% and 30%, respectively; vascular resistance index decreased by 14%; and photostress recovery time decreased by 33%. These indices did not change significantly in Control group patients. Conclusions. Inclusion of the phosphocreatine-containing drug in the complex therapy for the patients with dry AMD corrects ocular hemodynamics disorders, improves the functional state of the macular area and improves treatment outcomes.https://www.ozhurnal.com/en/archive/2017/3/3-fulltextage-related macular degenerationdry formdoppler examinationophthalmic arteryphotostress testphosphocreatine
spellingShingle V.V. Savko Snr
V.V. Savko Jnr
Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration
Journal of Ophthalmology
age-related macular degeneration
dry form
doppler examination
ophthalmic artery
photostress test
phosphocreatine
title Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration
title_full Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration
title_fullStr Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration
title_full_unstemmed Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration
title_short Effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age-related macular degeneration
title_sort effect of phosphocreatine on ocular hemodynamics and functional status of the macula in patients with dry age related macular degeneration
topic age-related macular degeneration
dry form
doppler examination
ophthalmic artery
photostress test
phosphocreatine
url https://www.ozhurnal.com/en/archive/2017/3/3-fulltext
work_keys_str_mv AT vvsavkosnr effectofphosphocreatineonocularhemodynamicsandfunctionalstatusofthemaculainpatientswithdryagerelatedmaculardegeneration
AT vvsavkojnr effectofphosphocreatineonocularhemodynamicsandfunctionalstatusofthemaculainpatientswithdryagerelatedmaculardegeneration