The Effectiveness of Restorative Treatment of Children after Surgical Treatment of Concomitant Convergent Alternating Strabismus using Low-frequency Magnetic Therapy and Photostimulation

The aim of the study was to develop and evaluate the efficacy of combined use of transcranial and orbital low-frequency magnetic therapy and photostimulation in children after surgical treatment for convergent alternating partial accommodative strabismus.
Methods. A randomized prospective, controlled, parallel-group trail was conducted in 66 children (132 eyes), male and female, aged 5 to 11 years, in the early postoperative period following strabismus surgery. The control group received basic treatment: orthoptic and training exercises. The comparison group received complex low-frequency magnetic therapy and retinal photostimulation alongside basic treatment. The main group received combined transcranial and orbital low-frequency magnetic therapy and retinal photostimulation alongside basic treatment. Magnetic therapy and photostimulation procedures were performed using the “AMO-ATOS” device. The treatment duration in all groups was 10 sessions performed daily. Research methods included collecting complaints, medical history, autorefractometry, visometry, determining absolute and relative accommodation, strabismus angle, vision characteristics and studying hemodynamic parameters in the ocular vessels. Statistical processing was performed using “STATISTICA 12.0” software.
Results. The combined use of transcranial and orbital low-frequency magnetic therapy and photostimulation in the early postoperative period in children who have undergone surgery for convergent alternating partial accommodative strabismus allows for a significant increase in visual acuity, a reliably significant increase in absolute and relative accommodation, hemodynamic indicators in the posterior long ciliary arteries, an increase in the number of patients with binocular stable vision to 54.5 %, surpassing in effectiveness the complex use of orbital magnetic therapy and photostimulation and basic treatment, as well as improving the obtained indices in the long term.

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