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WHO monographs on selected medicinal plants - travolekar.ru

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F<strong>ru</strong>ctus Myrtilli<br />

dem<strong>on</strong>strated. The final examinati<strong>on</strong> of 29 patients showed a stabilizati<strong>on</strong><br />

of the fundus alterati<strong>on</strong>s, as well as a stable, or an improved visual acuity.<br />

In seven patients, a moderate deteriorati<strong>on</strong> of the partial or overall medical<br />

c<strong>on</strong>diti<strong>on</strong> occurred (35).<br />

Night visi<strong>on</strong> improvement<br />

The effect of the c<strong>ru</strong>de d<strong>ru</strong>g <strong>on</strong> the enhancement of night visi<strong>on</strong> was first<br />

investigated by researchers in studies of Royal Air Force pilots during the<br />

Sec<strong>on</strong>d World War. In these case-reports, the investigators suggested that<br />

there were improvements in night visi<strong>on</strong> less than 24 hours after ingesting<br />

an unknown quantity of bilberry jam (36). Administrati<strong>on</strong> of the bilberry<br />

jam resulted in improved nighttime visual acuity, faster adjustment to<br />

darkness and faster restorati<strong>on</strong> of visual acuity after exposure to glare (37,<br />

38). Later studies supported these observati<strong>on</strong>s (36, 39, 40). Two studies<br />

showed that the administrati<strong>on</strong> of four tablets of an unspecified extract of<br />

the c<strong>ru</strong>de d<strong>ru</strong>g (100 mg per tablet) increased the light sensitivity threshold<br />

(36). However, these results have not been duplicated in c<strong>on</strong>trolled clinical<br />

trials. In <strong>on</strong>e study, the ability of anthocyanosides in a single oral dose<br />

to improve night visi<strong>on</strong> in normal individuals was evaluated during three<br />

night visi<strong>on</strong> tests: full-field scotopic retinal threshold, dark adaptati<strong>on</strong><br />

rate and mesopic c<strong>on</strong>trast sensitivity (41). The study, a double-blind, placebo-c<strong>on</strong>trolled,<br />

cross-over study, involved 16 young normal volunteers<br />

who were randomly assigned to <strong>on</strong>e of four different regimens of single<br />

oral administrati<strong>on</strong>s of 12, 24 and 36 mg of anthocyanosides or a placebo,<br />

with a 2-week washout period between doses. Scotopic retinal threshold,<br />

dark adaptati<strong>on</strong> rate and mesopic c<strong>on</strong>trast sensitivity were measured immediately<br />

before, and 4, 8 and 24 hours after treatment. No significant<br />

effect of the treatment was found <strong>on</strong> any of the three night visi<strong>on</strong> tests<br />

during the 24 hours following administrati<strong>on</strong>. The study c<strong>on</strong>cluded that<br />

single oral administrati<strong>on</strong> of 12–36 mg of anthocyanosides lacked any significant<br />

effect <strong>on</strong> night visi<strong>on</strong> tests relevant to the military (41).<br />

In a c<strong>on</strong>trolled study, the ability of multiple oral doses of anthocyanosides<br />

to improve night visi<strong>on</strong> in normal individuals was assessed. The effect<br />

was tested in the three night visi<strong>on</strong> tests: scotopic retinal threshold,<br />

dark adaptati<strong>on</strong> rate and mesopic c<strong>on</strong>trast sensitivity. This double-blind,<br />

placebo-c<strong>on</strong>trolled, cross-over study involved 18 young normal volunteers<br />

who were randomly assigned to <strong>on</strong>e of three different regimens of<br />

oral administrati<strong>on</strong>s of 12.0 and 24.0 mg/day anthocyanosides or a placebo,<br />

given twice daily for 4 days. A 2-week washout period was allowed<br />

between each 4-day treatment period. Scotopic retinal threshold, dark adaptati<strong>on</strong><br />

rate and mesopic c<strong>on</strong>trast sensitivity tests were d<strong>on</strong>e 1 day before<br />

treatment and <strong>on</strong> days 1, 2, 3 and 4 during the treatment period.<br />

219

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