1Petercom-Network / MS Consulting Group Cl. Corp. 194223, Russia, Saint-Petersburg, Kurchatov St.1.
2Federal State Budgetary Educational Institution of Higher Education “Academician I.P. Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of Russian Federation. 197022, Russia, Saint-Petersburg, Lva Tolstogo street, 6-8.
3Mechnikov North-West State Medical University, 191015, Russia, St. Petersburg, Kirochnaya St., 41.
4Primary Healthcare Unit of the Vodokanal of St. Petersburg, 196084, Russia, Saint- Petersburg, Moskovsky ave. 103, building 2.
5Kislovodsk City Hospital. 357700, Russia, Kislovodsk, Kutuzova Str. 127.
6HIGHTRADE LLC; 108821, Russia, Moscow, ext. ter., Filimonkovskoye settlement, block 101, 4, building 3.
Brief summary
Adaptive myopia (AM) and macular degeneration (MD) have been exploding in the world over the past 25 years. The root causes of such rapid growth are still unknown, but it is already becoming clear that these negative trends are largely related to drastic changes in the human visual environment. Despite the existence of many traditional and newly proposed theories of the pathogenesis of AM and MD, there is still no generalizing hypothesis that allows reflecting the initial degree of influence of the negative light background of megacities on the accelerated spread of these diseases. This article is the first to propose a working hypothesis that not only explains the current negative trends, but also allows us to propose more effective ways to prevent and inhibit AM and MD related to the practical overcoming of the influence of the negative visual background of megacities on human vision and health.
Key words
Adaptive myopia (AM) and macular degeneration (MD) have been exploding in the world over the past 25 years. The root causes of such rapid growth are still unknown, but it is already becoming clear that these negative trends are largely related to dra
1. Koshic I.N., Svetlova O.V., Gyseva M.G., Balashevich L.I., Makarov F.N. Ob obosnovannosti fiziologicheskih mehanizmov razvitiya priobretennoi miopii, predlojennih v teorii izmeneniya retinalnogo defokysa.- Rossiiskaya detskaya oftalmologiya. 2017. № 1. S. 40-53.
2. Koshits I., Svetlova O., Egemberdiev M. Theory-Physiological and biomechanical features of the interconnected functioning of the system of accommodation, and aqueous production and outflow. Hypotheses and actuating mechanisms of growth of the eye′s optical axis in the metabolic theory of adaptive myopia and in the theory of retina defocus. - Journal of Clinical & Experimental Ophthalmology. 2018. 9 (S8): 44-51.
3. Koshic I.N., Balashevich L.I., Svetlova O.V., Gyseva M.G., Makarov F.N. Ispolnitelnie mehanizmi rosta opticheskoi osi glaza v teorii izmeneniya retinalnogo defokysa.- V sborn.: EROShEVSKIE ChTENIYa. Tr. Vseross. konf., posv. 115-letiu T. I. Eroshevskogo. Samara, 2017. S. 545-561.
4. Brien A. Holden et al., 2016, American Academy of Ophthalmology; www.aaojournal.org.
5. Hung O.K., Giuffreda K.J. An incremental retinal defocus theory of the development of myopia. Comments on Theoretical Biology. 2003. V. 8. P. 511-538.
6. Tarytta E.P., Proskyrina O.V., Markosyan G.A. i dr. Strategicheski orientirovannaya koncepciya opticheskoi profilaktiki vozniknoveniya i progressirovaniya miopii. Rossiiskii oftalmologicheskii jyrnal. 2020; 13 (4): 7-16.
7. Svetlova O.V., Koshic I.N. Biomehanicheskie aspekti vozmojnih obshih prichin nasledstvennoi i priobretennoi miopii // Blizorykost, naryshenie refrakcii, akkomodacii i glazodvigatelnogo apparata: Tr. mejd. simp. - M., 2001. - S. 77-78.
8. Koshic I.N., Svetlova O.V., Makarov F.N. Priobretennaya miopiya kak klassicheskii slychai preobladaniya akkomodacii nad ottokom.- Blizorykost, narysheniya refrakcii, akkomodacii i glazodvigatelnogo apparata: Sb. tr. mejdyn. simp. MNII GB im. Gelmgolca, M.-2007.- S.234-236.
9. Gyseva M. G., Svetlova O. V., Koshic I. N. Stabilizaciya priobretennoi miopii s pomoshu kontaktnih linz v sve¬te metabolicheskoi teorii miopii // Oftalmol. jyrn. - 2011. - № 6. - S. 29-37.
10. Koshic I.N., Svetlova O.V., Gyseva M.G., Balashevich L.I., Makarov F.N., Egemberdiev M.B. Adaptacionnaya miopiya. Chast 1. Ispolnitelnie mehanizmi rosta opticheskoi osi glaza v teorii izmeneniya retinalnogo defokysa // Oftalmolog. jyrn. - 2016. - № 6. - S. 45-54.
11. Koshic I.N., Svetlova O.V., Gyseva M.V. Fiziologicheskie principi racionalnoi opticheskoi korrekcii. Prakticheskie rekomendacii. Normalnaya fiziologiya glaza: ychebnoe posobie.- SPb.: Izd-vo SZGMY im. I. I. Mechnikova, 2016.- 140 s.
12. Yongfang Xiea et al. The pilocarpine-induced ciliary body contraction affects the elastic modulus and collagen of cornea and sclera in early development. Biomedicine & Pharmacotherapy 108 (2018) 1816-1824.
13. Koshic I.N., Svetlova O.V., Egemberdiev M.B. Fiziologicheskie i biomehanicheskie osobennosti vzaimosvyazannogo fynkcionirovaniya sistem akkomodacii, prodykcii i ottoka. Gipotezi i ispolnitelnie mehanizmi rosta opticheskoi osi glaza v metabolicheskoi teorii adaptacionnoi miopii i v teorii retinalnogo defokysa. - EYE. Glaz. 2018, 2(120): 34-40.
14. Koshic I. N., Svetlova O. V., Gorban A. I. Fynkcionirovanie ispolnitelnih mehanizmov akkomodacii i razvitie teorii akkomodacii Gelmgolca. Normalnaya fiziologiya glaza: monografiya / - 2-e izd., ispr. i dop. - SPb.: Izd-vo SZGMY im. I. I. Mechnikova, 2016. - 288 s.: il.
15. Tron E. J. Izmenivost elementov opticheskogo apparata glaza i ee znachenie dlya kliniki. — L., 1947.
16. Stachs O.Monitoring the Human Ciliary Muscle Function During Accommodation // Guthoff R., Ludvig K. Current Aspects of Human Accommodation II. — Heidelberg: Kaden Verlag, 2003. — P. 105-118.
17. Stachs O., Martin H., Kirchhof A., Stave J., Terwee T., Guthof R. Monitoring accommodative ciliary muscle function using three-dimensional ultrasound // Graefe`s Arch. Clin. Exp. Ophthalmol. — 2002. — Vol. 240. — R. 906-912.
18. Shapovalov S. L., Milyavskaya T. I., Ignatev S. A. Formirovanie i techenie blizorykosti y vzroslih. — M.: MIK, 2012. — 199 s.
20. Proekt «Zdorovoe zrenie». 2024. https://osnovaled.ru/healthyvision. Data obrasheniya 05.12.25.
21. Ivan N Koshits, Olga Svetlova, Marina Guseva et al. The Physiological Causes for the Eye’s Optical Axis Growth and Executive Mechanisms in the Metabolic Theory of Adaptive Myopia and the Theory of Retinal Defocus. - Ophthalmology and Vision Science, 2018, Vol. 2 (2): 251-268.
22. Koshic I.N., Svetlova O.V., Gyseva M.G. i dr. Fynkcionalnoe vzaimodeistvie dispersionnih fiziologicheskih mehanizmov navedeniya glaza na rezkost s mehanizmami razvitiya priobretennoi miopii. Chast 1. Teoreticheskie aspekti dispersionnoi optometrii. Ross. detsk. oftalmol. 2018 (1): 30-45.
23. Snell R.S., Lemp M.A. Clinical anatomy of the eye. - 2nd ed. - Blackwell Publish, 2013. - 432 p.
24. Koshic I.N., Svetlova O.V. Tradicionnie predstavleniya o glaznom fokyse i novie viyavlennie fiziologicheskie mehanizmi navedeniya glaza na rezkost. - Rossiiskaya detskaya oftalmologiya. 2017 (4):24-36.
25. Rojkova G.I., Belokopitov A.V., Gracheva M.A. Zagadki slepoi zoni i kolca povishennoi plotnosti kolbochek na krainei periferii setchatki // Sensornie sistemi. — 2016. — № 4 (30). — S.263-281.
26. Koshic I.N., Svetlova O.V., Gyseva M.G. i dr. Morfofiziologicheskie osobennosti stroeniya makylyarnoi zoni glaza cheloveka i vozmojnii fynkcionalnii mehanizm navedeniya glaza na rezkost. - Rossiiskaya detskaya oftalmologiya. 2019 (2):39-51.
27. Astahov U.S., Dal N.U. Oftalmoskopiya: posobie dlya vrachei-internov i klinicheskih ordinatorov. - SPb. Izd-vo N-L., 2011, 48 s.
28. https://eyepress.ru/article/traditsionnye-predstavleniya-o-glaznom-fokuse-i-novye-vyyavlennye-fiziologichesk. Data obrasheniya 05.12.25.
29. Koshic I. N., Svetlova O. V., Gyseva M. G., Pevko D.V., Egemberdiev M.B. Opticheskie osobennosti prohodyashego sveta cherez prelomlyaushie stryktyri glaza. Oftalmologicheskii jyrnal. 2017. 4(477): 60-73.