梭形条带式后巩膜加固术治疗成年人病理性近视

Observation of shuttle shaped strip type for posterior scleral reinforcement operation in the treatment of adults pathological myopia

目的:观察后巩膜加固术治疗病理性近视的作用机制及临床效果。方法:回顾性分析因病理性近视行后巩膜加固术的成年患者54例86眼,对其手术前后眼轴长度、屈光度、视力及并发症对比观察,总结治疗经验。结果:随访2a,术眼的眼轴长度、屈光度在术后1、3、6mo与术前比较有统计学意义(P<0.05),术后1、2a眼轴长度、屈光度与术前比较无统计学意义(P>0.05),术后1、3、6mo,1、2a矫正视力同术前对比无统计学意义(P>0.05),无严重并发症发生。结论:后巩膜加固术可以有效地防治病理性近视的继续进展,是一种有效的、安全的手术方式。

AIM： To observe the mechanism and therapeutic effects of posterior scleral reinforcement operation in the treatment of pathological myopia. METHODS： A total of 54 cases（86 eyes）with posterior scleral reinforcement operation in the treatment of pathological myopia were retrospectively analyzed. The preoperative and postoperative ocular axial length, refraction, visual acuity and complications were observed, and the treatment experience was summarized.RESULTS：Patients were followed up for 2y, ocular axial length, refraction, and visual acuity, after 1, 3 and 6mo compared with the preoperative, there was statistical significance. After 1, 2y of ocular axial length and refraction compared with the preoperative, there was no significant postoperative corrected visual acuity compared with the preoperative, the difference was not statistically significant, no serious complications occurred.CONCLUSION： Posterior scleral reinforcement operation surgery can effectively prevent and cure the progression of pathological myopia. It is an effective and safe operation method.