摘要
目的:探讨对病理性近视的青少年施行改良型SynderThompson式后巩膜加固术的疗效及其安全性。方法:回顾分析于我院应用牛心包膜行后巩膜加固术的病理性近视患儿21例40眼,以同期未予手术治疗的病理性近视患儿13例26眼为对照组,随访3a,比较两组的屈光度、最佳矫正视力以及眼轴长度的变化情况。结果:随访3a后治疗组的平均等效球镜度为-12.90±3.22D,对照组为-13.40±1.85D,两组平均等效球镜度分别增加-1.13±0.45、-1.93±0.44D,两组相比差异有显著统计学意义(P<0.01);最佳矫正视力分别增加0.25±0.11、0.16±0.07,两组相比差异有显著统计学意义(P<0.01);眼轴增长分别为0.71±0.34、1.18±0.40mm,两组相比差异有显著统计学意义(P<0.01)。术后无1眼出现视网膜脱离、眼前节缺血综合征、排斥反应、眼内出血等严重并发症。结论:后巩膜加固术可以安全、有效地阻止青少年病理性近视的眼轴延长、控制近视进展,并能提高视功能。
AIM：To investigate the clinical effect and safety of modified Synder-Thompson posterior scleral reinforcement for pathological myopia in teenagers.METHODS：Forty eyes in 21 teenagers with pathological myopia who underwent the posterior scleral reinforcement using bovine pericardium（PSR group）were retrospectively studied,and at the same time 26 eyes in 13 age- and myopia-matched children who wore spectacles were analyzed as the control group.They were followed for 3a.The changes of best-corrected visual acuity,myopic diopter and axial length before and after treatments were measured and compared between the two groups.RESULTS：The mean spherical equivalent degree after3 a in PSR group was-12.90±3.22 D,and which in the control group was-13.40±1.85 D.The mean spherical equivalent degree at the end of the follow-up period in the PSR group and the control group were increased by-1.13±0.45 D and-1.93±0.44 D respectively,and the difference between the two groups was statistically significant（P 0.01）.The best-corrected visual acuity were increased by 0.25±0.11 and 0.16±0.07 respectively,and the difference between the two groups was statistically significant（P〈 0.01）.The increase of axial length were 0.71 ±0.34 and 1.18±0.40 mm respectively,and the difference between the two groups was statistically significant（P〈 0.01）.There was no serious complication such as retinal detachment,anterior segment ischemia syndrome,rejection reaction and intraocular hemorrhage in the PSR group after the surgery.CONCLUSION：Posterior scleral reinforcement surgery can not only effectively slow down high myopic axial progression and control the myopia development,but also elevate the visual acuity.
出处
《国际眼科杂志》
CAS
2016年第4期732-734,共3页
International Eye Science
关键词
后巩膜加固术
病理性近视
眼轴长度
posterior scleral reinforcement
pathological myopia
axial length
