AIM： To observe the changes of vitreous cavity length and diopter after scleral encircling（SE） produce.·METHODS： This prospective study included 68 eyes of68 non-consecutive patients with macula-off retinal d...AIM： To observe the changes of vitreous cavity length and diopter after scleral encircling（SE） produce.·METHODS： This prospective study included 68 eyes of68 non-consecutive patients with macula-off retinal detachment who were operated by SE surgery. The corneal refractive power, ocular axial length and diopter were measured by keratometer, A-mode ultrasonic meter and computed dioptometer.· RESULTS： There was no significant difference in corneal refractive power among preoperative and post operative 1, 3 and 6mo（0.57±0.54 D at pre-surgery; 0.72±0.26 D at 1mo; 0.71 ±0.34 D at 3mo; 0.69 ±0.31 D at 6mo;all P 〉0.05）. Axial lengths were obviously lengthened,especially in vitreous cavity length（17.87 ±3.09 mm,19.69 ±3.12 mm, 18.97 ±3.56 mm, 18.76 ±3.47 mm, 18.68 ±3.42 mm at pre-surgery, 1wk, 1, 3 and 6mo postoperatively,P 〈0.05） and diopter also increased at beginning and then recovered gradually. After 1 and 3 mo, axial length（vitreous cavity length） and myopia were more and in higher degree than before surgery.·CONCLUSION： The change of postoperative vitreous cavity length is the main factor that results in the changes of axial length and then makes the change of diopter.展开更多
基金Supported by the Natural Science Foundation of Anhui Province(No.1508085MH188)Science Foundation of Anhui Provincial health Bureau(No.13zc046)
文摘AIM： To observe the changes of vitreous cavity length and diopter after scleral encircling（SE） produce.·METHODS： This prospective study included 68 eyes of68 non-consecutive patients with macula-off retinal detachment who were operated by SE surgery. The corneal refractive power, ocular axial length and diopter were measured by keratometer, A-mode ultrasonic meter and computed dioptometer.· RESULTS： There was no significant difference in corneal refractive power among preoperative and post operative 1, 3 and 6mo（0.57±0.54 D at pre-surgery; 0.72±0.26 D at 1mo; 0.71 ±0.34 D at 3mo; 0.69 ±0.31 D at 6mo;all P 〉0.05）. Axial lengths were obviously lengthened,especially in vitreous cavity length（17.87 ±3.09 mm,19.69 ±3.12 mm, 18.97 ±3.56 mm, 18.76 ±3.47 mm, 18.68 ±3.42 mm at pre-surgery, 1wk, 1, 3 and 6mo postoperatively,P 〈0.05） and diopter also increased at beginning and then recovered gradually. After 1 and 3 mo, axial length（vitreous cavity length） and myopia were more and in higher degree than before surgery.·CONCLUSION： The change of postoperative vitreous cavity length is the main factor that results in the changes of axial length and then makes the change of diopter.
