Abstract
Purpose: Develop clinical and functional algorithms for the diagnosis, monitoring and treatment of progressive myopia in children based on the establishment of patterns between accommodative disorders, intraocular pressure (IOP) and changes in the biomechanical properties of the sclera. Methods: There was performed a study of 153 patients with myopia after scleroplasty (153 eyes). The patients’ age is from 5 to 17 years old (average age is 13.4±2.5 years). The observation period was 3 years. The maximum stabilizing effect of scleroplasty was observed one year after surgery. Results: 3 years after scleroplasty, the progression of myopia was detected in 36 eyes (23.5%). The combination of accommodation weakness, constantly redundant tension of accommodation (CRTA) and IOP values in the range of 18 to 23 mm Hg indicates the presence of ophthalmic- hypertensive syndrome of overstretching accommodation and the progression of myopia. Conclusion: The use of 0.005% Latanoprost solution (Prolatan) in the complex treatment of patients with myopia leads to IOP level normalization, increase of corneal hysteresis and rigidity index of corneoscleral tunic, as well as increase in the coefficient of accommodative response and decrease in the coefficient of the ciliary body microfluctuations.
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