Aubakirova A Zh, Ramankulova G K
Oftalmol Zh. 1989(3):156-8.
Ophthalmological data and results of surgical treatment in 81 children with congenital myopia are analysed. The methods used were simple, accessible for children ophthalmological practice: scleroplasty after Pivovarov-Pristavko (group I), modified chondroplasty (group II), simplified scleroplasty with revascularization of the Tenon's capsule after Beliaev (group III). Analysis of immediate results of operation has shown that any method of scleroplasty leads to increase of visual acuity, reduction of refraction and shortening of the anteroposterior axis of the eye. Signs of tenonitis after operation were recorded in most of the patients from group I, in one third of cases in group III and were absent in group II. The choice of the surgical method should be differential considering ophthalmological data of each patient. In children practice simplified methods of scleroplasty should be used, including chondroplasty, allowing to shorten the time of operation and to prevent operative and postoperative complications.
分析了81例先天性近视患儿的眼科数据及手术治疗结果。所采用的方法简单，适用于儿童眼科实践：Pivovarov - Pristavko术后巩膜成形术（I组）、改良软骨成形术（II组）、Beliaev术后带Tenon囊血管化的简化巩膜成形术（III组）。手术近期结果分析表明，任何巩膜成形术方法均可提高视力、降低屈光度并缩短眼轴前后径。I组大多数患者术后出现腱膜炎体征，III组三分之一的病例出现腱膜炎体征，II组未出现。应根据每位患者的眼科数据进行差异化选择手术方法。在儿童眼科实践中，应采用简化的巩膜成形术方法，包括软骨成形术，以缩短手术时间并预防手术及术后并发症。
