眼科新进展2018，Vol.38Issue(1)：49-52,4.DOI:10.13389/j.cnki.rao.2018.0010
后巩膜加固术治疗高度近视性视网膜病变的安全性和有效性分析
Security and validity of posterior sclera reinforcement for high myopic retinopathy
摘要
Abstract
Objective To investigate the efficacy of security and validity of posterior sclera reinforcement (PSR) for high myopic retinopathy (MR).Methods This study included 76 eyes in 41 patients with MR who underwent PSR and were followed up for two years.Preoperative and postoperative axial length,best-corrected visual acuity,the reattachment of retinoschisis and the complications were evaluated.Results The axial length was shortened 3 days,1 month,3 months and 6 months after operation compared with preoperation[(27.71 ± 1.60) mm,(28.11 ± 1.62) mm,(28.58 ± 1.80)mm and (29.01 ± 1.92) mm vs.(30.29 ± 2.01) mm],and the difference was statistically significant (all P =0.000).The axial length gradually increased to preoperative level at 1 year after surgery,and there was no significant difference in the postoperative 2-year and preoperative axial length (P =0.300).The best corrected visual acuity was improved 1 month after surgery,but the improvement had no significantly difference compared with the preoperative one (P =0.080).The best corrected visual acuity was improved at 3 months,6 months,1 year and 2 years postoperatively continuously,and the improvement had significantly difference compared with the preoperative ones (all P ＜0.05).In addition,there were 34 eyes with retinoschisis before surgery,and the retina was completely attached postoperatively in 27 eyes (79.41％),almost attachment was observed in 4 eyes (11.76％),and improvement was in 3 eyes (8.82％).No complications occurred during surgery.Conjunctival irritation,high intraocuiar pressure,orbital inflammation,diplopia and visual deformation and macular bleeding recurrence occurred postoperatively and all recovered in 3 months.Conclusion During 2-year follow-up,it is safe and effective for PSR to treat MR,which can control myopic progression effectively in patients with pathological myopia.关键词
后巩膜加固术/病理性近视/高度近视性视网膜病变/视网膜劈裂Key words
posterior sclera reinforcement/pathological myopia/high myopic retinopathy/retinoschisis分类
医药卫生引用本文复制引用
王秀,何晴,路晓晓,薛安全,魏瑞华..后巩膜加固术治疗高度近视性视网膜病变的安全性和有效性分析[J].眼科新进展,2018,38(1):49-52,4.基金项目
国家自然科学基金资助(编号:81770901).National Natural Science Foundation of China (No:81770901) （编号:81770901）
