国际眼科杂志2016，Vol.16Issue(4)：732-734,3.DOI:10.3980/j.issn.1672-5123.2016.4.37
后巩膜加固术治疗青少年病理性近视的疗效观察
Clinical observation on posterior scleral reinforcement for pathological myopia in teenagers
易姝 1易娟 2余时智1
作者信息
- 1. 400014 中国重庆市人民医院眼科
- 2. 646000 中国四川省泸州市，西南医科大学护理学院
- 折叠
摘要
Abstract
AlM:To investigate the clinical effect and safety of modified Synder - Thompson posterior scleral reinforcement for pathological myopia in teenagers.METHODS:Forty eyes in 21 teenagers with pathological myopia who underwent the posterior scleral reinforcement using bovine pericardium ( PSR group ) were retrospectively studied, and at the same time 26 eyes in 13 age- and myopia-matched children who wore spectacles were analyzed as the control group. They were followed for 3a. The changes of best-corrected visual acuity, myopic diopter and axial length before and after treatments were measured and compared between the two groups.RESULTS:The mean spherical equivalent degree after 3a in PSR group was -12. 90 ± 3. 22D, and which in the control group was -13. 40 ± 1. 85D. The mean spherical equivalent degree at the end of the follow-up period in the PSR group and the control group were increased by-1. 13 ± 0. 45D and -1. 93 ± 0. 44D respectively, and the difference between the two groups was statistically significant(P<0. 01). The best-corrected visual acuity were increased by 0. 25±0. 11 and 0. 16±0. 07 respectively, and the difference between the two groups was statistically significant(P<0. 01). The increase of axial length were 0. 71 ± 0. 34 and 1. 18 ± 0. 40mm respectively, and the difference between the two groups was statistically significant(P<0. 01). There was no serious complication such as retinal detachment, anterior segment ischemia syndrome, rejection reaction and intraocular hemorrhage in the PSR group after the surgery.CONCLUSlON:Posterior scleral reinforcement surgery can not only effectively slow down high myopic axial progression and control the myopia development, but also elevate the visual acuity.关键词
后巩膜加固术/病理性近视/眼轴长度Key words
posterior scleral reinforcement/pathological myopia/axial length引用本文复制引用
易姝,易娟,余时智..后巩膜加固术治疗青少年病理性近视的疗效观察[J].国际眼科杂志,2016,16(4):732-734,3.
