EFFECTIVENESS OF COMPREHENSIVE TREATMENT FOR MYOPIA IN PREPUBERTAL CHILDREN WITH CEREBRAL DYSFUNCTION

Purpose – to study the effectiveness of preventive treatment of myopia in children with cerebral visual dysfunction. Material and methods A total of 52 children aged 5-8 years with complaints of low vision, discomfort when reading and writing, and periodic headaches were observed for two years. During the neurological examination of children with cerebral dysfunction, a tendency towards increased dysregulation of the mechanisms of vascular supply of the visual analyzer was observed. The patients were divided into two groups: Group I - 32 children who received both vision therapy and neurological treatment; Group II - 20 children who received only visual therapy. Refraction before and after treatment was checked on a pediatric autorefractometer Plusoptix A09. Results A comparative analysis of the obtained results revealed that in Group I in 22 children, where the refraction before treatment was from (-)0.75 D to (-)1.5 D, after treatment it remained the same in 9 (28%); out of 10 (31%) children with refraction from (-)0.5 D to (-)0.75 D, the number increased to 15 (47%), and in 8 (25%) it was from (+)1.0 D to (-)0.75 D. At the same time, in the second group of children who received only pleoptic treatment, out of 12 (60%) who had refraction from (-)0.75 D to (-)1.5 D, after treatment, 11 (55%) remained the same, and the number of children with refraction from (-)0.5 D to (-)0.75 D increased by only 1 child and was 9 (45%). Conclusion Without diminishing the significant impact of visual impairments in children on the central nervous system (CNS) at various stages of their life, it can be concluded that at the stages of formation of cerebral visual impairments and in the process of their transformation, the mechanisms of neurohumoral regulation and adaptation or homeostatic neuroplasticity play a decisive role. Based on the obtained results, it can be concluded that preventive complex treatment of myopia in children with cerebral visual dysfunction has a positive effect on the dynamics of refractive disorders and the further course of myopia. Key words: myopia, cerebral dysfunction, prepubertal age, homeostatic neuroplasticity of the brain