后巩膜加固术治疗高度近视临床观察

A clinical investigation on scleral reinforcement for treatment of high myopia

目的为观察后巩膜加固术治疗高度近视的疗效。方法应用医用硅胶海绵片和异体巩膜做加固材料对86例(109只眼)高度近视患者行后巩膜加固术。结果术后随访1～4年,71.9%术眼视力提高,69.9%术眼眼轴稳定。术后眼动脉血流量增加。结论后巩膜加固术对高度近视有治疗作用。

Objective The study was designed to observe the therapeutic effects of scleral rein- forcement in treatment of high myopia.Method 86 patients (109 eyes) with high myopia were treated by scleral reinforcement using silicone sponge and heterogeneous sclera.Results Postoperatively,the naked visual acuity increased in 71.9% of all the eyes in 1～4 years of follow-up.69.9% of them had a stable axial length,and the volume of blood flow in ophthalmic artery increased in some eyes.Conclu- sion Scleral reinforcement has therapeutic effects in treatment of high myopia.The surgical techniques applied were mentioned.