Bataille Laurent, Piñero David P
Research and Development Department, VISSUM, Alicante 03016, Spain.
Group of Optics and Visual Perception, Department of Optics, Pharmacology and Anatomy, University of Alicante, Alicante 03690, Spain.
Int J Ophthalmol. 2020 Sep 18;13(9):1484-1492. doi: 10.18240/ijo.2020.09.22. eCollection 2020.
To revise the peer-reviewed literature on geometric properties of the scleral-conjunctival structure in order to define their clinical relevance and the potential relationship between their changes and myopia development or progression. A bibliographic search focused on the study of the geometry of conjunctiva and/or sclera as well as those studies evaluating the relationship between geometric changes in the scleral-conjunctival structure and myopia was carried out. Several studies have been performed with different diagnostic technologies, including optical coherence tomography, profilometry and Scheimpflug imaging, to detect geometric changes of the scleral-conjunctival tissue in different physiological conditions of the eye, after use of contact lenses and in different ocular pathologies. Likewise, these technologies have been shown to be a valuable clinical tool to optimize scleral contact lens fitting. Future studies should investigate new potential clinical applications of such technologies, including the evaluation of anterior scleral changes related to myopia, as well as to define standardized clinical standard operating procedures for obtaining accurate and reproducible clinical measurement of the scleral-conjunctival morphology.
修订关于巩膜 - 结膜结构几何特性的同行评审文献，以确定其临床相关性以及这些变化与近视发展或进展之间的潜在关系。进行了一项文献检索，重点关注结膜和/或巩膜几何形状的研究，以及评估巩膜 - 结膜结构几何变化与近视之间关系的研究。已经使用不同的诊断技术开展了多项研究，包括光学相干断层扫描、轮廓测量法和Scheimpflug成像，以检测在眼睛的不同生理状况下、使用隐形眼镜后以及不同眼部疾病中巩膜 - 结膜组织的几何变化。同样，这些技术已被证明是优化巩膜接触镜适配的有价值的临床工具。未来的研究应调查此类技术新的潜在临床应用，包括评估与近视相关的前巩膜变化，以及确定用于获得巩膜 - 结膜形态准确且可重复的临床测量的标准化临床标准操作程序。
