Choi M Y, Yu Y S
Department of Ophthalmology, College of Medicine, Chungbuk National University, Cheongju, and Seoul National University, Seoul, Korea.
J AAPOS. 2000 Dec;4(6):362-5. doi: 10.1067/mpa.2000.109315.
BACKGROUND OR PURPOSE: A series of encouraging reports over the past decade indicate that scleral buckling (SB) surgery may lessen or eliminate vitreoretinal traction in advanced retinopathy of prematurity (ROP). The effects of SB surgery on refraction and ocular growth, however, have not been demonstrated. We investigated the effects of postoperative removal of buckle in infants whose retinas were reattached in stage 4 ROP.
Selected for study were 6 eyes of 3 patients whose retinas had been reattached by placing an encircling buckle, 2.5 mm in width, around the eye and whose buckles were subsequently removed. Axial lengths and refractive errors were compared before and after removal of the buckles. The patients were examined for at least 3 years after removal.
There was high myopia in all eyes treated for stage 4 ROP with SB. All retinas remained attached after removal of the buckle. Although there was a variable degree of increase in axial length, myopic refractive error tended to decrease after removal of the buckle.
There was some decrease in degree of myopia without resulting in retinal detachment or continued vitreous traction after buckle removal following SB surgery for ROP.
背景或目的：过去十年间一系列令人鼓舞的报告表明，巩膜扣带术（SB）可能减轻或消除晚期早产儿视网膜病变（ROP）中的玻璃体视网膜牵拉。然而，SB手术对屈光和眼球生长的影响尚未得到证实。我们研究了在4期ROP视网膜复位的婴儿中术后拆除扣带的效果。
选取3例患者的6只眼进行研究，这些患者的视网膜通过在眼球周围放置宽度为2.5mm的环形扣带得以复位，随后拆除扣带。比较扣带拆除前后的眼轴长度和屈光不正情况。在拆除扣带后对患者进行至少3年的检查。
所有接受SB治疗4期ROP的眼睛均出现高度近视。拆除扣带后所有视网膜均保持附着状态。尽管眼轴长度有不同程度的增加，但拆除扣带后近视屈光不正度数趋于下降。
ROP的SB手术后拆除扣带后，近视度数有一定程度降低，且未导致视网膜脱离或持续的玻璃体牵拉。
