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[巩膜成形术联合前房角滤过区超声激活治疗进行性近视的有效性]

[The effectiveness of combining scleroplasty with ultrasonic activation of the filtering zone of the anterior chamber angle in progressive myopia].

作者信息

Kondratenko Iu N, Sergienko N M

出版信息

Oftalmol Zh. 1989(5):281-3.

PMID:2586973
Abstract

A new method for treatment of progressive myopia is developed that includes simultaneous action on both components of the leading pathogenetic link of myopization: "intraocular pressure--durable properties of the sclera". The method includes a combination of sclera-enhancing operations (administration of auto- or allotissue into the sub-Tenon's space of the posterior segment of the eye) with microhypotensive action (ultrasonic activation of the filtration zone of the anterior chamber angle). A comparison of results after 30 operations of common retrosclerosealing with those after 30 operations of retrosclerosealing in combination with acoustic hypotensive action (the follow-up period--4 years) has shown that in patients with acoustic hypotension the level of intraocular pressure fell by 2.9 mm Hg, this being 1.2 mm Hg higher than after common retrosclerosealing. In case of common retrosclerosealing myopia progressed in 10% of patients and in its combination with acoustic hypotensive action further progression of myopia was not recorded.

摘要

一种治疗进行性近视的新方法被研发出来,该方法包括同时作用于近视形成主要发病环节的两个要素:“眼压——巩膜的持久特性”。该方法包括巩膜强化手术(将自体或异体组织注入眼球后段的Tenon囊下间隙)与微降压作用(前房角滤过区的超声激活)相结合。对30例普通后巩膜加固术与30例后巩膜加固术联合声学降压作用(随访期——4年)的手术结果进行比较,结果显示,接受声学降压的患者眼压水平下降了2.9毫米汞柱,这比普通后巩膜加固术后高1.2毫米汞柱。在普通后巩膜加固术的情况下,10%的患者近视进展,而在后巩膜加固术与声学降压作用联合使用时,未记录到近视的进一步进展。

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