Purpose: to assess the possibilities of ophthalmonutraceuticals using in age-related macular degeneration (AND) patients.Patients Methods. The study included 35 patients (68.3 ± 6.3 years old; 15 men, 20 women) with AMD (AREDS-2 and AREDS-3 categories). As an ophthalmic nutraceutical, a biological active supplement was used, included vitamins C and E, zinc, lutein, zeaxantine, cooper, selenium (Retinorm; 3 capsules per day with meals). The observation period was 12 months (6 courses of therapy). There were the main control points: examination at study entry and examination at study completion. All those observed patients were underwent standard ophthalmological examination; fundus state photo registration (Nidek); OCT (Opto-Vue). The significance of a possible increase in the proportion of AREDS-3–4 AMD category patients was assessed using the Pearson γ2 test. An additional criterion was the maximum corrected visual acuity (MCVA) stabilization. The mean and its standard deviation (M ± s) were calculated, the significance of differences was assessed using the Wilcoxon’s t-test.Results. The study was completed in 33 patients. In 2 eyes a transition of AMD from the AREDS-2 to AREDS-3 category was recorded (an increase in the number and size of druses, with the appearance of large druses). The increase in the proportion of patients with the AREDS-3 AMD category was statistically insignificant (γ2 = 0.267; p = 0.606). In no case was there a transition to the AREDS-4 category. In the vast majority of those who completed the study (31 eyes; 93.9 %), the manifestations of AMD were stable, which, taking in account the chosen criterion, allows us to consider nutraceutical support to be affective. MCVA during the observation period also remained stable with a slight, but statistically insignificant tendency to its increase (from 0.72 ± 0.07 to 0.75 ± 0.09; t = 37.5, p > 0.05). One patient was excluded from the study after 6 months of observation due to development of an allergic skin reaction (presumably to the components of a nutraceutical). In the vast majority of patients (97.1%), no significant side effects of therapy were observed, the nutraceutical regimen was comfortable. One more patient was excluded from the study (after 3 months) due to his failure to appear for next follow-up examination.Conclusion. The use of Retinorm ophthalmonutraceutical can stabilize the manifestations of AMD (AREDS-2–3) in 93.9 % of patients with follow-up periods of up to 12 months. Repeated courses of therapy in 97.1 % of patients are not accompanied by significant side effects, and the regimen for taking ophthalmonutraceuticals is characterized by patients as comfortable.

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The article describes the neuropsychological techniques which are applied in the clinical practice in child psychiatry. It describes a system of qualitative and quantitative neuropsychological diagnostics. The role of neuropsychological analysis of the cognitive deficits associated with schizophrenia spectrum disorders in children and adolescents is reflected. Hierarchical cluster analysis according to neuropsychological diagnosis helps in the establishing the psychiatric diagnosis.

Objective: to analyze the tonometric data, obtained with standard contactless tonometry and corneal-compensated tonometry, examined by the Oculus CorVis ST device in different groups of patients of the Tri-Z Krasnodar Clinic.Patients and Methods. The study included 42 eyes of patients, with glaucoma — 55 %, with suspected glaucoma — 45 %, mean age — 63.19 ± 1.7 years, men were 20 (47.5 %), women — 22 (52.5 %), the central corneal thickness was 554.43 ± 5.28 microns. Corneal tomography and biomechanical parameters were measured using Pentacam (Oculus) and Corvus ST, respectively.Results. IOP in people aged over 60 years was lower according to CorVis ST (Po 22.07 = 2.25, Pcс 18.63 ± 1.30, p = 0.007). IOP differed only in patients with a CCT of more than 580 µm (Po 22.4 ± 2.9, Pcc 18.21 ± 2.16, p = 0.012). IOP in patients with glaucoma was Ро 26.19 ± 3.5 and Рсс 21.3 ± 2.0, p = 0.008, without glaucoma — Ро 17.83 ± 9.60; Pсс 16.1 ± 5.5; p = 0.063. IOP in patients with compensated glaucoma Ро 17.34 ± 1.10, Pсс 16.6 ± 1.1, p = 0.354, with decompensated Ро 42.78 ± 6.8, Pсс 30.08 ± 4.10, p = 0.005. In the initial stage of glaucoma, Рo 22.5 ± 2.3, Рсс 20.0 ± 1.0, p = 0.297, in the advanced stage — Рo 20.7 ± 2.7, Рсс 17.6 ± 1.9, p = 0.027.Conclusion. Standard non-contact tonometry can be used in persons aged under 60 years, persons without glaucoma and with initial compensated glaucoma. In all other cases, the Oculus CorVis ST values are more accurate.