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人工心包补片后巩膜植入术治疗病理性近视的疗效观察

Clinical observation of posterior scleral implantation surgery to treat pathologic myopia with the fibers of artificial pericardium
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摘要 目的:探讨采用人工心包补片进行后巩膜植入术治疗病理性近视的疗效。方法:应用人工心包补片材料,对56例102眼病理性近视进行后巩膜植入术,随访1a。结果:患者术前眼轴为28.83±3.12mm,术后第1d;1,6mo;1a眼轴分别为:28.71±3.14mm,28.76±3.22mm,28.84±3.17mm,28.88±3.31mm,与术前比较,差异无统计学意义(P>0.05);术前屈光度为-17.42±6.71D,术后第1d;1,6mo;1a为-17.31±6.51D,-17.43±6.42D,-17.35±6.62D和-17.34±6.72D,与术前比较,差异无统计学意义(P>0.05),术后矫正视力提高的97眼(95.1%),稳定的4眼(3.9%),视力下降1眼(1.0%),少数眼出现短暂眼压升高,用药后控制,没有出现严重的并发症。结论:以人工心包补片作为加固材料的巩膜后植入术,能有效的控制病理性近视的眼轴增长,稳定屈光度和改善视力,并发症少。 AIM: To evaluate the effect of posterior scleral implantation surgery to treat pathologic myopia with the fibers of artificial pericardium. METHODS. Fifty-six patients (102 eyes)with pathologic myopia were treated with posterior scleral implantation surgery with the fibers of artificial pericardium and were followed up for 1 year after the operation. RESULTS. The preoperative mean axial length was 28.83± 3. 12mm. The postoperative axial length was 28.71 ± 3.14mm at 1 day, 28.76 ± 3.22mm at 1 month, 28.84± 3.17mm at 6 months, and 28.88± 3.31mm at 1 year. There were no statistically significant differences between preoperative and postoperative axial length (P〉 0. 05 ). The preoperative mean refraction ( spherical equivalent, SE) was -17, 42 ± 6, 71 diopters (D). The postoperative SE was -17.31 ± 6.51D at 1 day, -17.43±6.42D at 1 month, -17.35 ± 6.62D at 6months,and -17.34± 6. 72D at 1 year. There were no statistically significant differences between preoperative and postoperative diopters ( P 〉 0.05). Differences between best corrected visual acuity ( BCVA) before and after surgery were not statistically significant. The postoperative BCVA were improved in 97 eye (95.1% ), stable in 4 eyes(3.9% ) , and only 1 eye's visual acuity (1.0%) was impaired. 6 eyes' intraocular pressure was heightened, and then quickly controlled with medicine. No other serious complications were observed. CONCLUSION :This study indicates that posterior scleral implantation surgery with the fibers of artificial pericardium as the strengthened materials can effectively control eye's axial length of pathologic myopia , stabilize the progression of diopters and improve eyesight. Meantime, there are not serious complications.
出处 《国际眼科杂志》 CAS 2010年第2期358-359,共2页 International Eye Science
关键词 人工心包补片 后巩膜植入术 病理性近视 the fibers of artificial pericardium posterior scleral implantation surgery pathologic myopia
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