Efficiency ophthalmochromotherapy in the complex treatment of patients with computer vision syndrome

BACKGROUND: One of the leading principles of asthenopia treatment is a comprehensive approach based on multidirectional methods of physical impact on the organ of vision. This provision determines the relevance of considering ophthalmochromotherapy, the use of which is determined from the position of photobiomodulation as a non-thermal biological process activated by certain wavelengths of light. AIM: To evaluate the clinical efficacy of ophthalmochromotherapy in the complex rehabilitation treatment of patients with computer vision syndrome. MATERIALS AND METHODS: The study involved 132 patients with computer vision syndrome, accompanied by characteristic manifestations of accommodative asthenopia — habitual excessive tension of accommodation (HETА) or asthenic form of accommodative asthenopia (AFAA). Patients were divided into four groups — two control groups, which underwent the traditional method of treating accommodative asthenopia and two main groups, which, along with the traditional method, underwent ophthalmochromotherapy (green color for HETА and red color for AFAA, respectively). RESULTS: A significantly higher level of clinical efficacy of restorative treatment was established when ophthalmochromotherapy was included in the traditional method, which is confirmed by more pronounced dynamics of accommodation indices (p 0.01), contrast sensitivity at low (0.5, 1.0 cycles/deg.) frequencies (p 0.01), critical frequency of fusion and flickering (p 0.05), and quality of life (p 0.01). CONCLUSIONS: The use of ophthalmochromotherapy in the complex treatment of patients with computer vision syndrome symptoms may be considered as an effective method of restorative correction of the functional state of the visual analyzer, which is confirmed (in comparison with the traditional method) by a pronounced, statistically significant improvement in the state of the accommodative system of the eye, as well as indices reflecting “sensory” fatigue and the patient’s quality of life. At the same time, in accordance with clinical standardization, the inclusion of ophthalmochromotherapy in the traditional treatment method ensured the achievement of standard indicators of quality of life, which reflects the full achievement of treatment targets from the perspective of the “medical and social” health model.