Physiotherapy for eye diseases: types, methods and treatment results

Every year the number of children with eye diseases increases and this trend shows the dependence of the negative influence of various external factors on the likelihood of the disease occurring. Moreover, the most common disease is myopia (nearsightedness). This is a pathology in which the child sees well at close range, but poorly at a distance. It occurs as a result of the fact that the image is projected not onto the retina (as it should be under normal conditions), but in front of it. As a result, objects that are at a great distance appear blurry.

Fortunately, while the child’s visual system is not fully formed, eye physiotherapy can help with correction. This is a complex process in which an ophthalmologist prescribes certain procedures and exercises to patients that are aimed at correcting vision. They are prescribed depending on the physiological characteristics of each child, how advanced myopia is and what the cause of its occurrence is.

general information

The biological effect of electrophoresis with drugs is associated with two factors: the direct effect of direct current, as well as the facilitation of the passage of drugs through the membranes of the body. The action of electric current, or galvanization reaction, improves blood flow and lymphatic fluid flow in tissues, increases the intensity of metabolic processes and increases the ability of medications to pass through the blood-ophthalmic barrier.

The use of electrophoresis on the eyes makes it possible to reduce the concentration of medications required for use, since the drugs are delivered specifically to a specific area of the body. An additional therapeutic effect of the physiotherapy procedure is that when used, medications accumulate in the tissues of the orbit, providing long-term effects.

Contraindications

However, before signing up for the procedure, be sure to take into account the contraindications. Also make sure that you do not have any allergic reactions to the medicinal components that will be administered to you.

Better yet, make an appointment with a cosmetologist for a consultation.

Facial electrophoresis should not be done if you have:

there are inflammations, wounds or other damage to the skin of the face;
hypersensitive skin;
eczema, dermatitis;
cardiovascular diseases;
viral, infectious diseases;
pneumonia, bronchitis, gastritis;
eye diseases;
you are pregnant or breastfeeding.

Indications and contraindications

Electrophoresis in ophthalmology is carried out with strict adherence to indications and contraindications for the use of the technique. Doctors recommend doing physiotherapeutic procedures for the following conditions:

inflammatory diseases of the eyeball and its structures outside the acute period, for example, keratitis, iridocyclitis, barley, etc.;
cicatricial changes on the skin of the eyelids;
adhesions in the anterior chamber of the eye;
hemorrhage into the structures of the eye;
changes in the vitreous body;
inflammatory and degenerative lesions of the choroid and retina;
optic nerve diseases.

In addition to the indications for electrophoresis, the doctor must exclude the presence of contraindications in a child or adult:

malignant or benign tumors of any location;
disorders of the blood coagulation system;
history of epileptic seizures;
acute period of any infectious diseases;
decompensated diseases of internal organs, for example, myocardial infarction, respiratory failure, etc.;
increased body temperature;
the presence of metal bodies inside the orbit.

If contraindications are identified, electrophoresis should be abandoned, as this can lead to the development of side effects after the procedure.

Electrophoresis for the face in cosmetology

Electrophoresis for the face is used both in medicine and in cosmetology. The procedure has a number of advantages and is used as:

simple facial care to reduce redness, rosacea, rosacea;
prevention of inflammation - pimples, acne, peeling;
removal of pigment spots.

The skin becomes firm, soft, elastic and healthy, and its former firmness returns.

Before and after

Carrying out the procedure

Electrophoresis in ophthalmology is used in various variations, which is determined by the capabilities of the medical institution and the specific indications of the patient. There are a number of devices that allow you to create a weak direct current: Potok-2, Elfor, etc. The Atos device has been developed for magnetophoresis. Effective treatment involves 10-15 sessions, each lasting 15-20 minutes. The current used should not exceed 1 mA.

The following variants of the procedure are most widespread in medicine:

The Bourguignon method involves placing electrodes containing a drug on the eyes with the eyelids closed. In this case, the cathode is placed on the patient's neck. The use of Bourguignon electrophoresis is recommended for lesions of the anterior parts of the eyeball or eyelids.
The bath method is also used for damage to the anterior segment of the eye, primarily of an inflammatory nature. Medications are poured into special trays into which the electrodes are immersed. During electrophoresis, the patient tilts his head forward and places his open eyes on the surface of the liquid in the bath. This allows direct contact of the eye and the drug solution. The cathode should also be placed on the neck.
If it is necessary to deliver drugs to the posterior structures of the eyeball (retina and choroid), endonasal electrophoresis must be used. The method uses small electrodes that are easily inserted into the nasal cavity, which ensures the administration of the drug to the posterior structures of the eye. The electrodes are carefully selected in size depending on the age of the person, and before use they are wrapped in gauze soaked in medication.
Local electrophoresis can help in cases where the patient has corneal damage. The electrode is a small needle that is inserted directly into the site of the pathological process.

The choice of a specific method of electrophoresis is made by the attending physician based on the diagnosis, existing indications and contraindications, as well as the characteristics of the patient’s body.

Lesson No. 66. Electrophoresis on the eyes

Dear students of our university, today we are again talking about electrophoresis - the introduction of drugs into the eye in a painless, simple way. What are the benefits? Advantages of electrophoresis over methods of administering drugs orally, intravenously or intramuscularly. Electric current allows you to activate physicochemical and metabolic processes, as well as cellular interactions in the tissues of the body. Administering a drug using electrophoresis has the following advantages over delivering the drug orally, intravenously or intramuscularly:

prolonged effect of the drug due to the creation of a depot in the skin and the slow release of the drug into the bloodstream;
slow removal of the drug from the body;
reduction of the effective therapeutic dose;
the ability to deliver medicine to the desired area of the body;
low risk of side effects;
delivery of the drug immediately in activated form;
painless delivery of medicine to the desired area of the body;
preservation of normal tissue structure during drug administration.

The combination of the action of electric current and medication can significantly reduce the dose of the drug, since even low concentrations of the substance have a therapeutic effect. If the medicine is administered in such low doses orally (in tablet form), intravenously or intramuscularly, it will not have any significant therapeutic effect. Electric current allows the activity of the drug administered by electrophoresis to be increased, allowing lower dosages to be used.

But not everyone knows how to do this electrophoresis. In this lesson I go into detail. And what I say will be useful both to the doctor and to any person who does not have a medical education, but wants to help his eyes.

Electrophoresis technique in ophthalmology

Bath electrophoresis. Necessary apparatus for galvanizing Potok-1, Potok BR, ELFOR, AGN-32 and others.
Eye baths: polymer eye bath for treatment using electrophoresis - VGE-01 “MP”. , Russia 390005, Ryazan, st. Semyon Seredy, 29, tel./fax 491276-4700.

Modern devices for electrophoresis are equipped with two electrodes in their design. In this case, one electrode is attached to the problem area of the body, the second to the arm. For ophthalmology, it is necessary to have three electrodes: two paired for the eyes and a third for the hand. Of all the devices, the ELFOR device is equipped with exactly three electrodes, which makes it a universal, inexpensive device. At the same time, which is very important, an industrial design is being produced for electrophoresis in hospital conditions, and a portable, inexpensive and extremely necessary device is being produced for use at home. So, to carry out electrophoresis, you should know that all medications used to improve the blood supply to the retina and optic nerve, especially in degenerative processes, will be most effective when administered in electrophoresis together with dimexide.

Dimexide is a non-aqueous polarizing solvent - dimethyl sulfoxide (DMSO), which penetrates well through cell membranes and has pronounced transporting properties, and also has the ability to enhance the effect of many drugs. Thus, dimexide strengthens the medicine and “drags” it inside the body. How to prepare dimexide for bath electrophoresis? You should purchase a bottle of dimexide, say 250 ml. It is not expensive, within 50 rubles. The concentration is 100%. For eyes, in electrophoresis the concentration should be 5%, i.e. 5% solution. How to get it? Determine the degree of concentration reduction: 100:5 we get 20. From practice: for a course of treatment with electrophoresis, 200 ml of a 5% dimexide solution will be required for both eyes. Therefore, the amount of concentrated dimexide required for this is 200:20 equal to 10 ml. Thus, a 5% solution contains 10 ml of dimexide plus 200 or 190 g. distilled water. In inflammatory processes, the concentration of dimexide is 10-30%. The eye bath has a capacity of 10 ml. Half of its volume should be occupied by dimexide - i.e. 5 ml. The rest of the volume should be the medicinal substance in one quantity or another.

So, taufon (amp. 5 ml) plus dimexide 5 ml. Pentoxifyline (amp. 5 ml) plus dimexide 5 ml. Emoxipine (amp. 2 ml) plus 3 ml. distilled water plus dimexide 5 ml Aloe extract (amp. 1 ml) plus nicotinic acid (amp. 1 ml) plus ascorbic acid (amp. 1 ml) plus 2 ml distilled water and plus dimexide 5 ml Cortexin (amp. 3 ml) plus 2 ml. distilled water plus dimexide 5 ml Kenalog 40 (amp. 1 ml) plus 4 ml distilled water and plus dimexide 5 ml Mexidol (amp. 2 ml) plus 3 ml. distilled water plus dimexide 5 ml

It is quite clear that various combinations are possible - mixtures, for example, taufon with nicotinic acid, aloe extract with nicotinic and ascorbic acid. Mathematical calculations make it possible to determine the amount of each ingredient, but you should know that if distilled water complementing the medicinal substance exceeds the amount of the drug itself, then the concentration of dimexide should be increased to 10%!!!!!

The bath electrophoresis technique involves, first of all, installing baths on the eye sockets with the nozzles facing up. After which, the medicinal substance, as well as dimexide, is poured into the syringe with a cannula. Electrodes are connected to the baths, and the third electrode is attached to the hand. Then turn on the current depending on the polarity. Current strength 0.3 - 1.0 mA. The duration of the procedure is 10-20 minutes. Number of procedures – 10-15. Polarity, i.e. The definition of cathode (-) or anode (+) pole is indicated in many medical sources. Dimexide is a bipolar solvent that can be introduced from both the cathode and the anode. For example, papaverine (+), milgama (+), euphilin (-), metal and alkaloids (+), acid radicals and metaloids (-), cortexin (+), mexidol (-), kenalog 40 together with dimexide ( +). For protein with an acidic reaction (+), with an alkaline reaction (-).

The widespread use of the electrophoresis method using various medications, including those not indicated in this work, makes the method extremely versatile, and most importantly, applicable at home. There is nothing complicated about performing electrophoresis at home. And the benefits are inestimable and undeniable. Moreover, the administration of drugs must be regular and repeated. You just have to buy a device for home electrophoresis, for example, ELFOR, which costs between 4,000-4,500 rubles, and there are two baths in Ryazan. If there is a desire, both the doctor and the patient must have it.

Selection of medications

An important element of the use of electrophoresis in ophthalmology is the choice of medications. It depends on the specific disease, existing clinical symptoms, as well as concomitant diseases. It is important to note that drugs can be applied to both the cathode and the anode, which is determined by the polarity of their molecules.

In medical practice, various groups of medications are widely used for electrophoresis: nootropics, drugs that improve cerebral circulation, miotics, mydriatics, etc. For example, in cases of severe spasticity of the ciliary muscle, electrophoresis with No-shpa for the eyes has a good effect. If there are strictures in the chambers of the eye that have arisen after inflammatory processes, then enzyme agents are very effective.

The choice of the concentration of the drug, as well as the parameters of the electric current, is made by a doctor with a special education. In no case should you try to carry out physiotherapeutic methods on your own, as this can lead not only to the development of side effects from medications, but also to the rapid progression of the underlying disease, up to loss of vision.

Electrophoresis in ophthalmology is used to treat a various range of diseases, ranging from inflammatory pathologies of the eyelids to myopia and degenerative changes in the optic nerve. In this case, there are four options for physical treatment, each of which differs in the equipment used and the conditions for its implementation. The specific method of physical therapy is determined by the attending physician; he selects a specific drug, its concentration, as well as the time for the entire procedure. In this case, electrophoresis can be carried out both on an outpatient basis and in a hospital setting, due to the absence of requirements for patient preparation and low risks of developing negative consequences.

Physiotherapy in ophthalmology “Ophthalmology 1st”

If you are interested in physical therapy for the eyes of children in Kyiv, then we invite you to our children's ophthalmology clinic, where this procedure is performed by highly qualified ophthalmologists with many years of experience. For non-surgical vision correction, we use exclusively the most innovative and reliable equipment, which will allow us to make all exercises as effective as possible. While the child’s visual system is not fully formed, we have the opportunity to influence it through treatment, thereby increasing the clarity of vision. To make an appointment and get advice from an ophthalmologist, you can call the phone numbers listed on the website, request a call back, or visit the center in Kyiv at the address: Sribnokilskaya street, 1.

How to choose a cosmetologist

The specialist must be qualified and have experience in cosmetology. He must also have a good understanding of the functionality of medical equipment and before the procedure make sure that the client has no contraindications.

In case of unforeseen circumstances, such as severe irritation on the skin or deterioration in the patient’s well-being during the procedure, the cosmetologist may interrupt the session and the course as a whole.

Almost all patients, regardless of age, gender and severity of the disease, tolerate the facial electrophoresis procedure well. In order for the treatment to be effective and give the necessary results, you need to complete the entire course and follow all the recommendations of your cosmetologist.

This procedure does not require any recovery period. There are also virtually no adverse reactions or complications after cosmetic electrophoresis of the face, since the electrodes operate at low power and low voltage.

Only slight redness of the facial skin may be observed.

The effect of electrophoresis lasts for a long time due to the action of drugs that continue to work long after the procedure.

How is electrophoresis performed for the face?

To begin with, the cosmetologist cleanses the facial skin and prepares it for the procedure. Then, directly engaged in electrophoresis, he monitors the patient’s condition throughout the entire session.

Well, the step-by-step instructions for electrophoresis for the face are as follows:

The cosmetologist applies a special gel to the face for better current conductivity.
Next, the specialist selects suitable plates depending on the problem and the area of skin being treated.
Both sides of the face are treated with sliding and light movements.
At the end of the session, the direction of the electrodes is changed and the treatment is repeated.
Then a nourishing mask with beneficial ingredients is applied to the face.

Important! For 24 hours after the procedure, you cannot use cosmetics, swim, visit baths, solariums, or the gym.

On average, the procedure does not last long - about 7-8 minutes, and it can be done once every two weeks. The whole course of treatment consists of six sessions.

If you want to take a second course, you can do this in two months.