- IRMS - Nicolae Testemitanu SUMPh
- REVISTE MEDICALE NEINSTITUȚIONALE
- The Moldovan Medical Journal
- Curierul Medical 2009 - 2016
- Curierul Medical, 2014
- Curierul Medical, 2014, Vol. 57, Nr. 4
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/7393
Title: | Terapia refractivă: istoric şi perspective |
Other Titles: | Refractive therapy: history and perspectives |
Authors: | Bilba, R. M. |
Keywords: | acquired myopia;refractive therapy;orthokeratology |
Issue Date: | 2014 |
Publisher: | The Scientific Medical Association of the Republic of Moldova |
Citation: | BILBA, R. Terapia refractivă: istoric şi perspective. In: Curierul Medical. 2014, vol. 57, no 4, pp. 79-85. ISSN 1875-0666. |
Abstract: | Background: Myopia has been labeled as one of the most commonly encountered ocular disorders and its prevalence is increasing worldwide.
The percentage of myopia varies from country to country starting from 25% in the United States to 90% in Asian countries. This has caused a massive
concern, which raised great interest in methods of treatment and prevention of myopia, one of which is orthokeratology. Over more than two decades,
orthokeratology had no widespread acceptance, partly because of the scientific community argued that the use of hard PolyMethylMethAcrylate
lenses increase the risk of central cornea impairment. Optometry and Ophthalmology did not accept the method as from lack of clinical evidence that
orthokeratology does not interfere with the structure and function of the cornea. The fact that only orthokeratology was able to evolve, demonstrate and
monitor corneal topographic changes, limited the number of cases for the purpose of scientific study. But the advent of corneal topography allowed a
more scientific approach to this procedure.
Conclusions: The mechanism of refractive therapy to halt the progression of myopia is based on the formation of a bifocal optical zone that transforms
the hyperopic defocus into a weak myopic one. According to statistics significant risk of developing microbial keratitis when wearing rigid gas-permeable
lens is 4 times lower than in the case of soft lenses and 20 times smaller than soft lenses for extended wear. Patients who have undergo neorthokeratological
correction presented neither at near nor at distance vision impairment, had no diurnal fluctuations of visual acuity or habitual activity limitation, which
shows a positive impact of therapy on quality of life. |
metadata.dc.relation.ispartof: | Curierul Medical |
URI: | http://repository.usmf.md/handle/20.500.12710/7393 http://moldmedjournal.md/wp-content/uploads/2016/09/81.pdf |
ISSN: | 1875-0666 |
Appears in Collections: | Curierul Medical, 2014, Vol. 57, Nr. 4
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