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[巩膜成形术。II. 成人患者的结果]

[Scleroplasty surgery. II. Results in adults].

作者信息

Rozsíval P, Mĕricka P, Zaydlar K

机构信息

Ocní klinika ILF MN, Ustí nad Labem.

出版信息

Cesk Oftalmol. 1991 Nov;47(4):258-69.

PMID:1364653
Abstract

The authors give an account of the results assembled in 181 patients (350 eyes) where scleroplasty in Pivovarov's modification was performed. 81.4% of the operations were indicated in myopia gravis, 91% in myopia progressiva and 5.1% in combination of myopia gravis and cataract. Of four implantation materials used the irradiated human sclera proved best. Scleroplastic operations had a favourable effect on the subsequent course of myopia gravis and myopia progressiva (followed up to four years). In both these diagnoses during the postoperative period a statistically significant improvement of visual acuity was observed, while the correction changed only slightly. Scleroplasties are a suitable surgical procedure in adults who suffer from progressing or severe myopia and give them real hope of preservation of visual functions.

摘要

作者介绍了181例(350只眼)接受皮沃瓦罗夫改良巩膜成形术患者的汇总结果。81.4%的手术适用于重度近视,91%适用于进行性近视,5.1%适用于重度近视合并白内障。在使用的四种植入材料中,辐照人巩膜效果最佳。巩膜成形术对重度近视和进行性近视的后续病程有良好影响(随访长达四年)。在这两种诊断中,术后视力均有统计学意义的改善,而屈光度仅略有变化。巩膜成形术是成年进展性或重度近视患者合适的手术方法,为他们保留视功能带来了切实希望。

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