Адаптационная миопия. Часть 1. Исполнительные механизмы роста оптической оси глаза в теории изменения ретинального дефокуса

Автор(и)

  • И. Н. Кошиц ЗАО «Питерком — Сети / МС»
  • О. В. Светлова ФГБОУ ВО «Северо-Западный университет им. И. И. Мечникова»
  • М. Г. Гусева Диагностический центр ГУП «Водоканал Санкт-Петербурга»
  • Л. И. Балашевич ФГБУ МНТК «Микрохирургия глаза» им. акад. С. Н. Федорова Минздрава России. Санкт-Петербургский филиал. Главный консультант филиала
  • Ф. Н. Макаров ФГБУН «Институт физиологии им. акад. А. П. Павлова РАН»
  • М. Б. Эгембердиев Чуйская областная объединенная больница, Киргизия, г Бишкек

DOI:

https://doi.org/10.31288/oftalmolzh201664357

Ключові слова:

набута міопія, адаптація, теорія дефокусу, механізми управління акомодацією та довжиною ока, регламент зорової роботи, відеоеколігія

Анотація

Рассмотрена современная теории приобретенной миопии — теория ретинального дефокуса — на фоне мирового прогноза пандемии близорукости у 5 млрд. человек к 2050 году. Выявлена несостоятельность теории изменения ретинального дефокуса в части предложенных исполнительных механизмов. Пока не разработан регламент зрительной работы, на первое место в борьбе с «пандемией близорукости» безусловно выходят проблемы видеоэкологии и тотальной профилактики ПМ.
Ключевые слова. Адаптация, приобретенная миопия, теория дефокуса, видеоэкология, регламент зрительной работы, механизмы управления аккомодацией и длиной глаза.
Адаптаційна міопія. Частина 1. Виконавчі механізми зростання оптичної осі ока в теорії' зміни ретинального дефокуса
І. Н. Кошиць, О. В. Светлова, М. Г. Гусєва, Л. І. Балашевич, Ф. М. Макаров, М. Б. Егембердіев
Розглянута сучасна теорія набутої міопії — теорія ретинального дефокусу — на фоні світового прогнозу пандемії короткозорості у 5 млрд. людей к 2050року. Встановлена неспроможність теорії зміни ретинального дефокусу у відношенні запропонованих її авторами виконавчих механізмів. Доки не розроблений регламент зорової роботи, на перше місце у боротьбі з «пандемією короткозорості», безумовно, виходять проблеми відеоекології і тотальної профілактики міопії

Посилання

1. Avetisov ES. [Myopia]. M.: Meditsina; 1986. 216 p. Russian.

2. Avetisov SE. [Myopia as manifestation of body adaptive reaction]. XIX Intern. Ophthalm. Congress "White Nights". SPb.; 2013. 132-9. Russian.

3. Avetisov ES, Kovalevskii EI, Khvatova AV. [Guidance in pediatric ophthalmology]. M.: Meditsina; 1987. 354p. Russian.

4. Avetisov ES, Rozenblium IuZ. Ophthalmological issues in cybernetic aspect. M.: Meditsina; 1973. 86 p. Russian.

5. Avetisov ES, Rozemblium IuZ. What myopia optic correction should be like? (To discussion results). Oftalmol Zh. 1974;3:72-8. Russian.

6. Avetisov ES. [Myopia]. M.: Meditsina; 1999. 288 p. Russian.

7. Accomodation. [Guidance for physicians]. Ed. Katargina LA. M.: Aprel; 2012. 136p. Russian.

8. Ananin VF. [Accommodation and myopia]. M.: Biomedinform; 1992. 73 p. Russian.

9. Ananin VF, Ananin VV. [Eye and pharmacology]. M.: Biomedinform; 1994. 82p. Russian.

10. Andreeva LD. [Structural changes in the sclera in myopia and emmetropia]. Thesis for Cand. Sc. (Biol.). M.; 1981. 171 p. Russian.

11. Babanov SA. [Professional eye diseases: optimization of diagnostic and treatment procedures]. RMJ. Clinical ophthalomology. 2015;2:89-94. Russian.

12. Balashevich LI. Dynamics of visual acuity recovery after intensive short-term light exposures on the eye in norm and in some diseases of the yellow spot: author's thesis for Cand. Sc. (Med.). L.: VMA; 1974. 17p. Russian.

13. Boiko EV, Volkov VV, Kolesnikova LN, Shelepin IuE. [Studying mechanisms of altered vision in a human's work with videomaterials]. Sensornyie sistemy. 1989;3(3):307-13. Russian.

14. Volkov VV. [On accommodation of the eye]. Okulist. 2003;6(46):6-7. Russian.

15. Volkov VV, Gorban AI, Dzhaliashvili OA. [Clinical visometry and refractometry]. L.:Meditsina; 1976. 256p. Russian.

16. Volkov VV, Kolesnikova LI. [Accommodation and refraction according to study materials of cobalt glass]. Oftalmol Zh. 1973;3:172-6. Russian.

17. Volkov VV, Luizov AV, Ovchinnikov BV, Travnikova NP. [Ergonimics of visual activity of human]. L.: Mashinostroieniie; 1989. 156p. Russian.

18. Volkov VV, Kotliar KE, Koshits IN, Svetlova OV, Smolnikov BA. [Biochemical features of interaction of accommodative and drainage systems of the eye in norm and in contusion lens subluxation]. Vestn. Oftalmol. 1997;3:5-7. Russian.

19. Volkov VV, Strakhov VV. [On accommodation in distance and in glasses preserving the possibility of its active use with myopic eye for distance vision]. Vestn. Oftalmol. 2007;2:32-7. Russian.

20. Viazovskii IA. [Device for objective assessment of visual acuity]. Oftalmol Zh. 1962;7:391-5. Russian.

21. Galkin NN. [Manual for lens fitting]. 2nd edition. Volkov VV, the editor. Medgiz LO; 1980. 185 p. Russian.

22. Guseva MG, Svetlova OV, Koshits IN. [On a choice of physiologically-based rational correction for stabilization of acquired myopia in children]. Glaz. 2012;1:12-7. Russian.

23. Dashevskii AI. [Pseudomyopia]. M.; 1973. 163p. Russian.

24. Dashevskii AI. [On correction of main elements in anatomic and optic system of the eye]. Oftalmol Zh. 1983;4:209-13. Russian.

25. Deinego VN, Kaptsov VA, Balashevich LI, Svetlova OV, Makarov FN, Guseva MG, Koshits IN. [Prevention of ocular diseases in children and teenager in classrooms with led light sources of the first generation. Analytical review]. Ross. Detsk. Oftalm. 2016;2:57-72. Russian.

26. Dobrovolskii VI. [On various accommodation-influenced changes of astigmatism]. Voienno-meditsinskii zhurnal. 1868;9 (103):34-44. Russian.

27. Zykov LI, Kulikov SM, Lvov LV, Manachinskii AN, Smyshliaiev SP, Sukharev SA, Shkapa AF. [Experimental model of the eye for intraocular lens testing and demonstrating. Biomechanics of the eye- 2005: proceedings of scientific conference]. M.: MNIIGB im. Gelmgoltsa; 2005. 186-190. Russian.

28. Иванов А. А. Рефракция глаз у детей в первые месяцы жизни: дис. ... - СПб., 1898.

29. Kornilovskii IM. New energy-saving hydrohemodynamic theory of accommodation. Refraktsionnaia khirurgiia i oftalmologiia. 2010;3(10):16-22. Russian.

30. Kornushina TA. Physiological mechanisms of development of visual fatigue and overstress while performing visually stressing work. Vestn Oftalmol. 2000;4:33-9. Russian.

31. Koshits IN, Makarov FN, Svetlova OV, Zaseeva MV, Kotliar KE. [Biochemical features of ciliary muscle regulation of accommodation and aqueous humor outflow in guided refractive and pharmacological interventions. Biomechanics of the eye- 2005: proceedings of scientific conference]. M.: MNIIGB im. Gelmgoltsa; 2005. 20-4. Russian.

32. Koshits IN, Svetlova OV. [Glossary - Functionary: accommodation mechanisms]. REFRACTION 2008: Proceedings of ophthalmol. conference. Samara; 2008. 54-62. (www.organum - visus.com / Biomechanics of the Eye). Russian.

33. Koshits IN, Svetlova OV. [Discussion on acquired myopia]. Oftalmol Zh. 2012;6:111-22. Russian.

34. Koshits IN, Svetlova OV. Formation of the adequate length of eye and the metabolic theory of the pathogenesis of acquired myopia. Oftalmol Zh. 2011;5:4-23. Russian.https://doi.org/10.31288/oftalmolzh20115423

35. Koshits IN, Svetlova OV. [Ontogenesis of formation of necessary length of the eye and metabolic theory of myopia pathogenesis]. Biomechanics of the eye- 2007: proceedings of scientific conference]. M.: MNIIGB im. Gelmgoltsa; 2007. 13-33.

36. Koshits IN, Svetlova OV. [Development of Helmholtz's theory of accommodation according to studies of additional accommodation mechanisms]. Vestnik RAMN. 2003;2:3-12. Russian.

37. Koshits IN, Svetlova OV. [Modern visions of Helmholtz's theory of accommodation: work-book]. SPb: ID SPbMAPO; 2002. 30p. Russian.

38. Koshits IN, Svetlova OV, Guseva MV, Makarov FN. [Priority directions in the fight against acquired myopia: theory and practice]. Glaz. 2013;6(82):12-7. Russian.

39. Koshits IN, Svetlova OV, Makarov FN. [Modern concepts about executive mechanisms of accommodation and Helmholtz theory. Part 1. Physiological and biomechanical peculiar properties of the accommodation system]. Glaz. 2012;2(84):11-20. Russian.

40. Koshits IN, Svetlova OV, Makarov FN, Guseva MV. М. В. [The physiological and biomechanical postulates of the new theories of accommodation]. Glaz. 2013. 3(82); 15-21. Russian.

41. Koshits IN, Svetlova OV. [Ontogenesis of formation of necessary length of the eye in childhood and metabolic theory of myopia pathogenesis]. Glaz. 2007;6(58):16-31. Russian.

42. Koshits IN, Svetlova OV, Gorban AI. [Functioning of executive mechanisms of accommodation and development of Helmholtz's theory of accommodation. Normal physiology of the eye: monograph]. SPb.: Izd-vo SZGMU im. I.I. Mechnikova; 2004. 180p. Russian.

43. Koshits IN, Svetlova OV, Makarov FN. [Metabolic theory of progressive myopia]. Proceedings of XII Ukrainian Congress of ophthalmologists. Odessa;2010:257. Russian.

44. Koshits IN, Svetlova OV, Makarov FN. [Acquired myopia as a classic case of prevalence of accommodation over outflow]. [Binocular and oculormotor disorders: proceedings of scientific practical conference in Helmholtz Moscow Research Institute]. M.;2007:135-7. Russian.

45. Koshits IN, Svetlova OV, Makarov FN, Guseva MG. [Rational correction is an effective method for stabilizing acquired myopia]. Proceedings of IX All-Russian scientific practical conference "Fedorov Memorial Lectures". M.:2011:104-6. Russian.

46. Krasilnikov NN, Krasilnikova OI, Shelepin IuE. [A model of formation of frequency and contrast characteristic of visual system in dependence on light intensity of the retina]. Sensornyie sistemy. 1997;3(11):333-9. Russian.

47. Lagace JP. [Incremental Retinal Defocus Theory and Progressive Myopia.]. Vestnik optometrii. 2011;1:48-57. Russian.

48. Lialin AN, Blinova OV, Korepanov AV. [Retinal defocus and vergence and accommodation stresses as regulatory mechanisms for refractogenesis]. Sovremennyie tekhnologii v oftalmologii. 2015;2:139-46. Russian.

49. [International anatomic nomenclature (with the official list of Russian equivalents)]. 2nd Edition. M.: Meditsina; 2013. 234p. Russian.

50. Muravieva SV, Pronin SV, Shelepin IuE. [Contrast sensitivity of the human visual system]. Eksperimentalnaia psikhologiia. 2010;3(3):5-20. Russian.

51. Nikolaieva TE. [To a comparative structural inferiority of accommodative muscles and sclera in moderate severe myopia. Myopia: collection of papers of scientific practical conference in Helmholtz Moscow Research Institute]. M.; 1974. 49-51. Russian.

52. Pavlov NN, Danilova MV, Shelepin IuE. [Optimization of a human-display system]. Tekhnika kino I televideniia. 1989;11:8-14. Russian.

53. Pivovarov NN, Surkova EN. [Accommodation and presbyopia in the view of new hypotheses (disputing issues).] Refraktsiia khirurgii I oftalmologii. 2010;4:4-10. Russian.

54. Pospelov VI, Petrushenko OV. [Absolute accommodation in various refraction of the eye in children. Current issues of clinic, diagnostics and treatment in ophthalmology: proceedings]. Barnaul-Belokurikha: OOO "Akimirika"; 2009:121-24. Russian.

55. Radzikhovskii BL. [Astigmatism of the human eye]. M.: Meditsina; 1969. 194p. Russian.

56. Radzikhovskii BA. Myopia. M.: Medgiz; 1963. 187p. Russian.

57. Rozenblium IuZ. [Refraction, accommodation and vision. In a paper collection "Clinical physiology of vision"]. M.: Izd. AO "Rusoved"; 1993: 180-198. Russian.

58. Rozenblium IuZ, Koshits IN, Svetlova OV, Sheludchenko VM. [Accomodation at a young age. Norm and pathology]. Vestnik RAMN. 2003;5(3):10-5. Russian.

59. Svetlova OV, Koshits IN. [Biochemical aspects of possible common causes of inherited and acquired myopia. Myopia, disorders of refraction, accommodation, and oculormotor system: proceedings]. M.:MNII im. Gelmgoltsa; 2001: 77-78. Russian.

60. Svetlova OV, Koshits IN. [Interaction of main intraocular fluid outflow pathways with accommodation mechanism: textbook]. SPb.: ID SPbMAPO; 2002. 50p. Russian.

61. Svetlova OV, Koshits IN. [Classification and interaction of accommodation mechanisms in the human eye]. Biomechanics of the eye - 2000: proceedings. M.: MNII im. Gelmgoltsa; 2002: 117-119. Russian.

62. Svetlova OV. [Regulatory biomechanism of uveascleral outflow in the human eye]. Ophthalmology between two ages: proceedings. SPb: VMA; 2001: 207-208. Russian.

63. Svetlova OV. [Functional peculiarities of the interaction between the sclera, accommodation and drainage systems of the eye in glaucoma and myopia pathology]. Author's thesis for Dr Sc (Med). M.; 2010. 55p. Russian.

64. Svetlova OV, Koshits IN., Drozdova GA. [Interaction of aqueous humor outflow mechanisms and accommodation in myopia and glaucoma. Pathological physiology of the eye: monograph]. SPb.: Izd-vo SZGMU im. I.I. Mechnikova; 2014. 164p. Russian.

65. Svetlova OV, Koshits IN., Kugleev AA. [Physiological peculiarities of ciliary muscle in guided refractive interventions]. VII Congress of ophthalmologists of Russia: proceedings. Moscow; 2000: 287. Russian.

66. Sergiienko NM. [Theory of accommodation: whether a Helmholts theory should be corrected?] Oftalmol Zh. 2000;2:81-2. Russian.

67. Serdiuchenko VI, Viazovskii IA. [Studying accommodation in different meridians of the eye and modified treatment of its disorders in hypermetropia amblyopia]. Biomechanics of the eye - 2004: proceedings. M.: MNII im. Gelmgoltsa; 2004: 33-37. Russian.

68. Somov EE. [Ophthalmoergonomics of operative activity of air staff]. SPb.: Politekhnika; 1992. 176p. Russian. Сомов

69. Sorokin GA, Avetisov ES. [On a new hypothesis of myopia origin. In a book "Proceedings of scientific conference, dedicated to 90th anniversary of V.Filatov"]. Kiev; 1965: 34-9. Russian.

70. Sorokin GA. [Studying a professional risk in visual stress]. Meditsina truda I promyshlennaia ekologiia. 2009;4:30-5. Russian.

71. Stepanova LV. [Transport functions of lens epithelium (biophysical aspects)]: author's thesis for Cand Sc (Biol). Krasnoiarsk: KMA; 2005. 26p. Russian.

72. Tarutta EP, Milash SV, Tarasova NA, Epishina MV, Adzhemian NA. [Induced peripheral defocus and the shape of the posterior eye pole in orthokeratological myopia correction]. Ross Oftalmol Zhurn. 2015;3:52-6. Russian.

73. Tarutta EP, Khodzhabekian NV, Filinova OB. [Modern ideas of a role of accommodation in refractogenesis. In a book "Accommodation: guidance for physicians" edited by Katargina LA. M.]: Aprel;2012:35-9.

74. Tron EZh. [Changeability of elements of optic system of the eye and its meaning for clinic]. L.; 1947. 354p. Russian.

75. [Federal clinic recommendations. Diagnostics and treatment of myopia in children. Interregional public organization "Association of ophthalmologists"]. Moscow; 2013. 49p. Russian.

76. [Federal clinic recommendations. Diagnostics and treatment of myopia in children]. Ross. Pediatricheskaia Oftalmologiia. 2014;2:49-62. Russian.

77. Feigin AA. [Professional ophthalmopathy: clinics, diagnostics, rehabilitation, prevention]. Thesis for Dr Sc (Med). 2006. 199p. Russian.

78. Filinova OB. [Studying the effect of persistent mild myopia defocusing of image on the refraction dynamics, binocular functions and growth of the eye in children: author's thesis for Cand Sc (Med)]. M.; 2009. 26p. Russian.

79. Khokhlova TV, Panova IG. [Formation of accommodationin in fresh-water turtles emys orbicularis L]. Sensornyie sistemy. 2006;4(20):300-8. Russian.

80. Shapalov S, Shelepin IuE, Miliavskaia TI et al. [Guidance on diagnostics, expertise, recovery of visual capacity in persons of air and dispatcher staff of civilian aviation]. M.: Vozdushnyi transport; 1990. 104p. Russian.

81. Shapovalov SL. [Clinical and physiological peculiarities of absolute accommodation of the human eyes and methods of its studying; author's thesis for Dr Sc (Med)]. M. M.; 1977. 29 p. Russian.

82. Shapovalov SL, Bursov IV. [Biomechanics of Bagolini and Maddox tests]. Biomechanics of the eye - 2009: proceedings. M.: MNII im. Gelmgoltsa; 2009: 46-49. Russian.

83. Shapovalov SL, Miliavskaia TI, Ignatiiev SA. [Accommodation of the eye and its desorders: monograph]. M.: MIK; 2011. 183p. Russian.

84. Shapovalov SL, Miliavskaia TI, Ignatiiev SA. [Main forms of asthenopia]. M.: MIK; 2012. 287p. Russian.

85. Shapovalov SL, Miliavskaia TI, Ignatiiev SA. [Formation and course of myopia in adults]. M.: MIK; 2012. 199p. Russian.

86. Boyer MM, Poulsen GL, Nork TM. Relative contributions of the neurosensory retina and retinal pigment epithelium to macular hypofluorescence. Arch Ophthalmol. 2000;Jan;118(1):27-31.https://doi.org/10.1001/archopht.118.1.27

87. Brien A Holden еt al, 2016. American Academy of Ophthalmology; www.aaojournal.org.

88. Hung GK, Ciuffreda KJ. An incremental retinal defocus theory of the development of myopia. Comments on Theoretical Biology. 2003;8:511-38.https://doi.org/10.1080/08948550302433

89. Hung GK, Ciuffreda KJ. Differential retinal-defocus magnitude during eye growth provides the appropriate direction signal. Med Sci Monit. 2000;6(4):791-5.

90. Hung GK, Ciuffreda KJ. Incremental retinal defocus theory predicts experimental effect of under-correction on myopic progression. JBO. 2004;3:59-63.

91. http://airestech.ru/media/reshenie-parlam-assamblei

92. http://botan0.ru/?cat=2&id=126

93. http://www.lrc.rpi.edu/resources/newsroom/AMA.pdf

94. https://www.led-professional.com

95. https://www.nteresnik.com/zhivotnyj-mir-byvaet-li-u-zhivotnyx-blizorukost/

96. https://www.veterinarka.ru/.../stradayut-li-sobaki-i-koshki-blizorukosty.

##submission.downloads##

Опубліковано

2026-06-30

Як цитувати

[1]
Кошиц, И.Н. et al. 2026. Адаптационная миопия. Часть 1. Исполнительные механизмы роста оптической оси глаза в теории изменения ретинального дефокуса. Ukrainian Journal of Ophthalmology . 6 (Чер 2026), 43–57. DOI:https://doi.org/10.31288/oftalmolzh201664357.

Номер

Розділ

Дискусія

Статті цього автора (авторів), які найбільше читають

Схожі статті

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 > >> 

Ви також можете розпочати розширений пошук схожих статей для цієї статті.