A method of treating post-traumatic and postoperative uveitis

 

(57) Abstract:

The invention relates to medicine, ophthalmology. Exercise EHF-influence on biologically active points. Additionally carry out electrophoresis a 1% solution of pantogematogen on the reflex zones. The method reduces the treatment time, increase the duration of remission.

The invention relates to medicine, in particular to physical therapy, and can be used in the treatment of patients with post-traumatic and postoperative uveitis.

It is known the use of acupuncture in the uveitis pain syndrome (N. I. Arkhangelsk. Acupuncture in treatment of some eye diseases. Vestn. ophthalmology, 1979, 2, S. 64-66).

In this method of treatment carry out impact on 10 of biologically active points, featured in the classic manuals. Point 2V, 3V, 23TR, 14VB, etc. which are often used in eye diseases, mainly correspond to the projection of the main nerve trunks and branches of the frontal nerve. In addition, use a point on the ear lobe. If this course of treatment is 10 procedures carried out daily. The length of p is to achieve full recovery.

In addition, acupuncture is an invasive method, which in itself is undesirable, especially in inflammatory processes in the eye. Introduction needle in the peri-orbital region is a painful procedure, especially in the elderly.

There is a method of treatment of degenerative diseases of the retina and optic nerve using microwave resonance therapy (MRT). The essence of the method (MRI) is the impact on biologically active points of the radiation of electromagnetic waves of millimeter range. When you affect one of the common BAT: E36, G14, Gil1, TR5, and then moving on to the impact on the local VI, V2, VB, E1, E2, TR23, auricular points AT, ATA, ATV and segmental somatic and autonomic innervation of the organ of vision.

The selection of acupuncture points is carried out individually according to clinical manifestations, comorbidities and the principles of reflexology.

During the MRI session used 4-5 BAHT in one patient, the total duration of the procedure 20-25 min, the duration of exposure at a single point acupuncture 2-5 min, the rate of 10-15 sessions.

The disadvantages of this method are the predominant use of local points, i.e. the impact of what is possible with MRI in the aquatic environment).

In addition, the course of treatment is 10-15 sessions that is long enough.

Closest to the present invention is a method of treating post-traumatic and postoperative uveitis, including microwave effect (Secureusa L. J. "Microwave therapy macular degeneration and uveitis". Vestnik of ophthalmology, 1966, 3, S. 5-9)

This method provides for microwave exposure directly to eye. Patients with uveitis such treatment is prescribed, usually after 6 to 8 days after onset of the disease, occurring with sharply pronounced symptoms of eye irritation and severe pain. The number of procedures is 5-7.

The disadvantage of this method is that the microwave effect has a distinct local character. In addition, this impact is contraindicated in the presence of hypotension, bleeding, hematoma, which is not excluded in the early postoperative period. That is, the application of this method is limited.

Due to the high absorption coefficient of the tissue of the microwaves, the latter penetrate only to a depth of 4.5 cm When exposed to microwaves at eye - area with a large number of boundaries, depth Prony is odbora dosage possible danger of overheating of the tissues of the eye in the form of burns.

In accordance with this task, aimed at improving the effectiveness of treatment, the reduction of the time and increase periods of remission.

This is achieved by a method for treatment of post-traumatic and postoperative uveitis, including microwave effect, carry out EHF-influence on the tonic, stimulating the immune system and the distal biologically active points, placed at the foot meridians in the amount of not less than 5-7 and additionally in doing so, electrophoresis a 1% solution of pantogematogen on reflex zones at the current density of 0.03-0.05 mA/cm2and EHF-influence spend 5-10 minutes at the point and electrophoresis for 12-15 minutes, at the rate of 5-8 daily sessions.

The method is as follows.

Daily for 5-7 points BAHT exercise EHF-influence within 5-10 minutes BAHT choose from abducibles, for example, G i11, ll, TR5, P7, stimulating the immune system, for example, J15, T26, and the distal point, placed at the foot meridians, VB37, 38, 41, 43, RP4, 6, 11, F2, 3, R3, 5, V60, 64, E36, 40, 41, 43, 44. Points on the foot meridians are selected in accordance with the clinical picture and the individual characteristics of the patient. It is very important to account for the Zopa is to the next. In addition, depending on the location and nature of pain choose BAHT on foot meridians as follows. With a deep pain in the eyeball RP11. with hyperemia eye VB43, with a sharp decline in visual acuity VB43, E40, V60, with itching - VB37, VB38, with swelling R3, Gi4, etc. After holding EHF-puncture additionally carry out electrophoresis in 0.1% aqueous solution of pantogematogen on reflex zones at the current density of 0.03-0.05 mA/cm2within 12-15 minutes Pantogematogen is introduced with two poles in the volume of 5-10 ml During the course of EHF-puncture on the BAT and electrophoresis of pantogematogen is 5-8 daily procedures. Point BAHT each day vary depending on the condition of the patient.

Specific examples of the complete method.

Example 1.

Patient N., 37 years. Hospitalized with a diagnosis of Mature senile cataract of the right eye, almost Mature senile cataract of the left eye for cataract extraction with implantation of an artificial lens (EK+IOL). Conducted EK+IOL in my right eye, then one day on my left eye. Complications during surgery is not marked. In the early postoperative period on the first day after surgery, the left eye developed acute vospaliteleny (IOP), swelling of the cornea, severe pain and a sharp decline in visual acuity. Was conducted medical treatment: corticosteroids/and locally, indomethacin, askorutin, vitamin E,/drip gemodez,/m lasix, diacarb, asparkam, betoptic, Garson, Balaban, solcoseryl. The phenomenon of uveitis decreased, but remained exudative film before IOL in the anterior vitreous, increased IOP, pain in the left eye. Treatment added holding EHF-puncture for the entire course of treatment on the following points: Gill(2), VB37(2), VB43(2), RP4(2), RP11(2), F2(2), V60(2), TR5(2), E36(2), V60(2), TR5(2), E36(2), E43(2) for 5 min and J15, T26 10 minutes And these points change daily, choosing from them 5-7 depending on the condition of the patient. Additionally, while conducting electrophoresis a 1% solution of pantogematogen according to the standard technique at the current density of 0.03 mA/cm2with both poles, in a volume of 5 ml. Rate was 5 daily treatments.

On the following day the pain disappeared right, left considerably decreased, pericardial film left remained only in the region of the pupil. IOP right normal left a moderately increased. Visual acuity of the right eye improved to 0.5, from left to 0.1. On the 3rd day of the inflammatory process almost is reduced vision, pain in the right eye. Hospitalized with a diagnosis of acute uveitis in the right eye. The clinical picture is marked by pain, redness, edematous changes of the iris, the exudative reaction and precipitates on the cornea. Against the background of standard therapy in the first day acute inflammatory process of the uveal tract almost docked, vision recovered to 1.0. The patient insisted on leaving hospital. However, a week later when re-treatment of inflammation of the right eye was characterized by a marked loss of moisture of the anterior chamber and the vitreous body, the development of posterior synechia, precipitation on the endothelium, severe pain with decreased visual acuity. Was conducted medical treatment: corticosteroids in/and local, non-steroidal anti-inflammatory and antipruritic drugs, antibiotics, vitamins C, PP, and E,/drip gemodez, atropine, Garson, dipivefrin. The phenomenon of uveitis has decreased, pain, cropped, his eyes became calmer, but remained exudation in the area of the pupil and into the anterior vitreous, extensive posterior synechia. Treatment added holding EHF-puncture points Gi4(2), VB38(2), VB41(2), RP6(2), RP11(2), F3(2), V64(2), TR5(2), E36(2), E40(2), E41(2) no 5-6 the NTA. Then electrophoresis was performed with 1% aqueous solution of pantogematogen common technique at the current density of 0.05 mA/cm2with both poles, in a volume of 10 ml. of treatment was 8 daily procedures. On the third day of the moisture front camera is transparent, the precipitates almost resorbed, the vitreous body became transparent, viewed the fundus of the eye, the visual acuity improved.

Using this method will ensure rapid and effective treatment of post-traumatic and postoperative uveitis. Way to be accessible, simple, not traumatic.

A method of treating post-traumatic and postoperative uveitis, including microwave effect, characterized in that exercise EHF-influence on the tonic, stimulating the immune system and the distal biologically active points, placed at the foot meridians in the amount of not less than 5-7 and additionally in doing so, electrophoresis a 1% solution of pantogematogen on reflex zones at the current density of 0.03-0.05 mA/cm2and EHF-influence spend 5-10 minutes at the point and electrophoresis for 12-15 min at a rate of 5-8 daily sessions.

 

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