Introduction. In paediatric population the prevalence of refraction pathology, including astigmatism of more than 0,75 diopters, exceeds 30 % in average. Visual perception disorder with underlying non-corrected ametropia in children, especially in sensitive period of visual system development, can manifest itself in amblyopia, strabismus, binocular and stereoscopic vision dyspoiesis. Astigmatism of more than 0,75 diopters requires a mandatory correction, even at 1 year age, to provide conditions for the complete vision formation. It is possible that if we try osteopathic methods on astigmatism triggers, it will decrease the astigmatism degree in infants.Goal of research — to explore the opportunities of osteopathic treatment for infants with refraction disorders based on age, and develop recommendations for pediatric ophthalmologists.Materials and methods. 37 infants from 3 to 11 month were divided in two groups. An experimental group consists of 21 infant, and control group consists of 16 infants. Before starting the study, an ophthalmologic and osteopathic examination was done to all infants. «Plusoptix A09» pediatric autorefractometer was used to determine the refraction. Osteopathic treatment for the experimental group included 4–6 sessions with an interval of 7–14 days. The control group did not receive osteopathic treatment, they were just observed. Observation period was 6–12 months.Results. For all the examined children with astigmatism, regional somatic head dysfunctions were determined and characteristic. Regional somatic dysfunction of dura mater was detected in 75– 90,9 % of cases. Regional somatic dysfunctions of the neck were found in 60–75 % of cases. It was found that in experimental group, astigmatism rate was decreased by 2,2 times in infants less than 6 months of life and by 1,4 times in infants older than 6 months due to osteopathic correction of somatic dysfunctions. In control group, no signifi cant changes in astigmatism rate were observed at the end of the observation period. Statistically signifi cant differences with a high confi dence level between the degree of astigmatism severity and somatic dysfunctions of the head and dura mater regions were revealed.Conclusion. Osteopathic treatment should be recommended for infants with astigmatism under 1 year old.

Introduction. Glaucoma is one of the most significant eye diseases. It is often diagnosed, not always amenable to therapy, and can lead to a complete loss of visual functions. In recent years, the method of osteopathic correction has become widespread as one of the effective methods of treatment and rehabilitation of patients with pathologies of various body systems. In the pathogenesis of glaucoma, it is customary to distinguish a dystrophic concept, which considers primary open-angle glaucoma as a result of dystrophic changes in the connective tissue, as well as in the endothelial lining of the trabeculae and Schlemm′s canal, especially destructive changes in mitochondria and the alteration of their functional activity. A vascular concept is also distinguished. According to this concept, the central link in the pathogenesis of glaucoma is circulatory disorder in the ciliary vessels, ocular artery, and major vessels of the head and neck, it can be assumed that osteopathic correction in the treatment of patients with open-angle glaucoma will be pathogenetically substantiated and will have a positive effect on intraocular pressure and trophicity of the optic nerve. The goal of research — to study the influence of in osteopathic correction on the nature of unoperated glaucoma (stage IIA) and to substantiate the possibility of using osteopathic correction in the complex treatment of patients with this pathology.Materials and methods. A prospective controlled randomized study was conducted at 52 city polyclinics, branch 3, Moscow, from January 2018 to January 2019. 40 patients (70 eyes) aged 50 to 75 years with primary open-angle glaucoma IIA stage were examined. At this stage of the disease, patients most often seek medical care and the issue of conservative management is primarily considered. All patients were divided into two groups of 20 people: the main group and the control group. The treatment in the main group included hypotensive drug therapy and osteopathic correction. Patients of the control group received only drug therapy. All patients underwent ophthalmic (visometry, tonometry, perimetry) and osteopathic examination twice: before the treatment and after 3 months.Results. For patients with primary open-angle IIA non-operated glaucoma, regional (most often regions of the head, neck, dura mater) and local (abdominal diaphragm, iliac bones, hip and knee joints) somatic dysfunctions were the most typical. In the main group a statistically significant decrease in the frequency and severity of dysfunctions at all levels was stated. Also, in patients receiving osteopathic correction, a significant decrease in the level of intraocular pressure and perimetric indices was noted. In patients of the control group, no reliable changes in these indicators were obtained.Conclusion. The results obtained indicate that osteopathic correction is clinically effective in the complex treatment of patients with primary open-angle II A glaucoma.