Effect of complex therapy by acupuncture, retinalamin and OMK-1 on eye hemodynamics in children with retinitis pigmentosa

The work concerns the study of retinitis pigmentosa (RP) – a hereditary generalized retinal dystrophy and complex therapy method via acupuncture (AP), endonasal electrophoresis with Retinalmin and OMK-1 instillations. The aim of this work was to assess the effect of complex therapy with the use of AP, endonasal electrophoresis with Retinalmin and OMK-1 instillations on the hemodynamics of the eye in children with retinitis pigmentosa based on the results of colour Doppler imaging (CDI). The study included 25 children (50 eyes) diagnosed with RP at the age of 7-14 years. Of the diagnosed, 10 patients were girls and 15 were boys. All patients underwent routine ophthalmic examination methods, electroretinography (ERG - general, macular, rhythmic, and cone). The state of the eye hemodynamics was determined by using the CDI of the vessels of the eyeball and retrobulbar space. The hemodynamic parameters (Vmax, Vmin, RI) of the ophthalmic artery (OA), central retinal artery (CRA), short posterior ciliary arteries (PSCA) were studied. Complex therapy of patients included AP, endonasal electrophoresis with Retinalamin, and OMK-1 instillations. 10 treatment sessions were carried out at the National Center of Ophthalmology within two weeks (5 sessions per week). Each AP session lasted 25 minutes and included the placement of acupuncture needles in a standard set of points on all patients located on the head, around the eyes, on the hands, feet, arms and legs. Endonasal electrophoresis was performed using Potok-1 apparatus equipped with 2 electrodes. Complex therapy with the use of AP, endonasal electrophoresis with Retinalamin and OMK 1 instillations is a minimally invasive method and has no negative impact. The positive therapeutic effect of our treatment method may pave the way for future research. Thus, complex therapy with the use of AP, endonasal electrophoresis with Retinalamin and OMK-1 instillations is a painless, affordable method, quite feasible in children and has a positive effect on visual functions and hemodynamics of the eye. The complex therapy implemented in our work can be used as a method of treating RP including in children.