CLINICAL CASE: SYNCHRONOUS MALIGNANCY: LEFT BREAST AND OVARIAN CANCER ASSOCIATED WITH HEREDITARY BRCA1: 5382 INS C - MUTATION

the heterogeneity of sensory disturbances in a group homogeneous in terms of refraction type, age, and other parameters. In particular, we distinguished three subgroups according to the features of the variations of the MNVA in the orthogonal parts of the retinas: the group where the MNVA in the orthogonal meridians was the same, the group in which the MNVA in the vertical meridian was higher than in the horizontal and the group where the MNVA in the vertical meridian was lower. than in horizontal. Such results make it possible to look at the problem of adaptation of the visual system to astigmatism from a different angle. Asymmetries in orthogonal visual acuity were recorded in both paired and leading eyes, and were often latent in the leading eyes, which is the basis for understanding MA as a binocular pathology. As a criterion for the effectiveness of the treatment, we used the fact of an increase in visual acuity and a change in the nature of visual acuity asymmetry in orthogonal meridians. After treatment, the number of eyes with the same MNVA in orthogonal retinal meridians increased by 47.92% and amounted to 81.25% (it was 33.33%). Accordingly, a group of patients who may need more vigorous pleoptic treatment was identified. At the same time, the use of usual hardware methods of treatment together with accommodation training have shown their effectiveness in most patients with amblyopia and astigmatism.