Golychev V N, Morozova I V
Oftalmol Zh. 1989(3):160-2.
A combination of scleroplasty after Pivovarov-Pristavko with revascularization of the sclera in the author's modification was used for treatment of myopic disease with expressed dystrophic changes in the eye fundus (stages III-V). For revascularization, the Tenon's capsule is used. It is introduced and sutured in the intrascleral pocket in the superexternal quadrant of the eye ball. The operation was used in 31 patients (35 eyes). No complication was recorded. Remote observations, from 1 to 3 years, over 21 patients (23 eyes) have shown stabilization of dystrophic processes and preservation or rise of visual acuity in 21 eyes (91%). The effectiveness of the operation is explained by improved blood circulation in the eye coats on account of both scleroplasty and revascularization of the sclera by the Tenon's capsule.
采用作者改良的皮沃瓦罗夫-普里什塔夫科术后巩膜成形术联合巩膜血管重建术,用于治疗眼底有明显营养不良性改变的近视疾病(III - V期)。对于血管重建,使用眼球筋膜囊。将其引入并缝合在眼球外上象限的巩膜内袋中。该手术应用于31例患者(35只眼)。未记录到并发症。对21例患者(23只眼)进行了1至3年的远期观察,结果显示营养不良性病变得到稳定,21只眼(91%)的视力得以保留或提高。该手术的有效性归因于巩膜成形术以及通过眼球筋膜囊对巩膜进行血管重建,从而改善了眼壁的血液循环。