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[巩膜成形术治疗进行性近视的远期疗效分析]

[An analysis of the late results of scleroplasty in progressive myopia].

作者信息

Tarutta E P, Shamkhalova E Sh, Val'skiĭ V V

出版信息

Oftalmol Zh. 1989(4):204-7.

PMID:2797690
Abstract

Analysis of remote (to 9 years) results after 256 sclera-enhancing operations in patients with progressive myopia, aged from 7 to 48 years, revealed stabilization of the process in 72% of patients, the dependence of the effect on the form of myopia and the patient's age. As to prognosis, early acquired myopia and the children age are less favourable. The number of surgical failures increases in remote terms; in some patients the effect can be transitory. Therefore, surgical results should be judged about minimum 3 years after operation. Comparative examination of the state of a complex "graft-sclera" by means of computer tomography in satisfactory and unsatisfactory surgical results has shown that myopia continues to progress, as a rule, in case of reduced scleral density and the absence of roentgenologic signs of the graft. The action of scleroplasty on the appearance and course of central chorioretinal dystrophies has been studied.

摘要

对年龄在7至48岁的进行性近视患者进行256次巩膜强化手术后的远期(长达9年)结果分析显示,72%的患者病情稳定,效果与近视类型和患者年龄有关。至于预后,早发性近视和儿童期预后较差。远期手术失败的数量增加;在一些患者中,效果可能是暂时的。因此,手术结果应在术后至少3年进行评估。通过计算机断层扫描对“移植物 - 巩膜”复合体状态进行的对比检查表明,在手术效果满意和不满意的情况下,通常在巩膜密度降低且无移植物X线征象时,近视会继续进展。已经研究了巩膜成形术对中心性脉络膜视网膜营养不良外观和病程的影响。

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