单条带后巩膜加固术治疗病理性近视手术操作建议

The suggestion for operative procedures of single band posterior scleral reinforcement for pathologic myopia

巩膜加固术是目前延缓眼轴增长唯一有效的手术治疗方式。然而病理性近视患者眼轴长、眼球壁薄、眼内环境复杂。此外,后巩膜加固术操作范围广泛,且主要集中于眼球后部,操作不当可出现严重的并发症。本文针对目前常用的单条带后巩膜加固术,从适应证、禁忌证、手术麻醉方式、手术操作步骤、术前术后管理和手术相关并发症及应对措施进行讨论,建立手术操作规范,为后巩膜加固术安全、有效地推广和普及提供依据。

At present,posterior scleral reinforcement is the only effective surgical method to delay axial growth.However,eyes with pathologic myopia have long axial length,thin sclera,and a complex intraocular environment.Besides,the range of the operation is widely and mainly focused on the posterior segment of the eyes.Serious complications may occur due to improper operation.Here,we discussed the indications,contraindications,anesthesia methods,surgical procedures,preoperative and postoperative management,complications,and corresponding approaches of single band posterior scleral reinforcement to establish the standard operative procedure and popularize it effectively.