MULTIDISCIPLINARY APPROACH TO THE CORRECTION OF ACCOMMODATION REFRACTION DISORDERS IN VISUALLY INTENSIVE LABOR PERSONS
https://doi.org/10.18008/1816-5095-2015-2-68-73
Abstract
Increased load on the visual analyzer of an operator, increase in everyday visual performance, universal introduction of information displaying on cathode-ray tubes result in temporary and stable visual disturbances. Accommodative refractive apparatus of an eye is one of the key points of application of visually intensive labor. Work associated with permanent eyestrain overloads oculomotor and accommodative apparatus thus provoking myopic shift, increase in dynamic refraction, exophoric or esophoric shift of initial visual equilibrium. Accommodation disorders are accompanied by changes in ciliary muscle blood supply, abnormalities of vegetative segment regulation, parasympathetic brain vascular dystonia due to the decreased tonus of sympathetic nervous system. Evaluation of certain kind of activity in terms of ergonomics includes examination of visual status and visual working capacity, development of visual professiograms and vision standards for certain professions, justification of methods and tools of visual work optimization. Visual disturbances in operators developing in the course of visually intensive occupational work should be considered from the viewpoint of traditional accommodation and refraction disorders as well as functional manifestations of general fatigue or thoracic cervical spine dysfunction. Symptoms of accommodative asthenopia can be regarded as a functional manifestation of general fatigue syndrome or functional neurosis. Development of multidisciplinary approach to the correction of accommodation refraction disorders in visually intensive labor persons is of scientific urgency and practical reasonability. There is a long-felt need in additional attraction of different specialists who use in their work physical factors for accommodative asthenopia correction. Development of multidisciplinary approach to accommodation refraction disorder correction in visually intensive labor persons is based on syndromic pathogenic treatment approach. Specific visual stimulation as well as tonic and psychorelaxation methods which provide correction of psychoemotional state and thoracic cervical spine dysfunction are the most actual tools. Cranial osteopathic therapy which uses specialized systems based on biological feedback principle are of special importance. These methods provide cervical muscle training and audio-visual stimulation as well.
About the Authors
I. G. Ovechkin
Institution of Postgraduate Education, Federal Medical Biological Agency, Moscow
Russian Federation
Russian Federation
V. E. Yudin
Moscow State University of Food Production
Russian Federation
Department of medical rehabilitation and physical methods of treatment
Russian Federation
Department of medical rehabilitation and physical methods of treatment
G. A. Emel’yanov
Ul’yanovsk Regional Clinical Center of Specialized Medical Care
Russian Federation
Russian Federation
A. V. Mironov
S. Fyodorov Foundation of the Promotion of Advanced Medical Technologies, Moscow
Russian Federation
Russian Federation
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For citations:
Ovechkin I.G., Yudin V.E., Emel’yanov G.A., Mironov A.V. MULTIDISCIPLINARY APPROACH TO THE CORRECTION OF ACCOMMODATION REFRACTION DISORDERS IN VISUALLY INTENSIVE LABOR PERSONS. Ophthalmology in Russia. 2015;12(2):68-73. (In Russ.) https://doi.org/10.18008/1816-5095-2015-2-68-73
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