摘要
目的回顾性观察后巩膜加固术治疗高度近视眼的远期疗效。方法回顾性分析。随访观察16例（32只眼）高度近视眼患者行后巩膜加固患者术后10—13年眼轴、眼底及矫正视力情况。手术前后眼轴长度及最佳矫正视力比较采用配对t检验。结果患者术后10年眼轴长度为（29．93±2．78）mm，与术前眼轴长度（29．28±2．41）mm相比，差异有统计学意义（t=5．14，P〈0．05）。术后与术前相比平均眼轴增长（0．643±0．661）mm，术后平均每年眼轴增长（0．056±0．058）mm。术后10年以上眼底情况稳定，并发脉络膜新生血管者占3．1％（1／32）。患者术后10年矫正视力为0．52±0．32，与术前0．55±0．29相比，差异无统计学意义（t=0．26，P〉0．05）。结论后巩膜加固术远期能够安全有效地延缓高度近视眼眼轴增长，稳定视力。远期效果提示该手术对预防高度近视眼并发脉络膜新生血管具有一定积极作用，但仍需更大样本的对照研究及相关基础实验研究进一步论证。
Objective To assess the safety and efficiency of posterior scleral reinforcement surgery by analyzing data collected for more than ten years after the surgery. Methods Sixteen patients（32 eyes） with high myopia who underwent scleral reinforcement were followed up for more than ten years （10 to 13 years）. Results Best corrected visual acuity was stable （ t = 0. 26,P 〉 0. 05）. The average axial elongation was 0. 056 mm per year postoperation after surgery. The ratio of choroidal neovascularization in the operation group was 3. 1% （1/32）. Conclusions Posterior scleral reinforcement is a safe and effective. This procedure can prevent the development of choroidal neovaseularization in high myopia. A control study with a larger group of cases as well as related basic is still required.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2011年第6期527-530,共4页
Chinese Journal of Ophthalmology
关键词
巩膜
眼外科手术
近视
脉络膜新生血管化
治疗结果
回顾性研究
Seleral
Ophthalomologic surgical procedures
Myopia
Choroidal neovascularization
Treatment outcome
Retrospective studies
