Wang Y H, Qiao L Y
Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Institute of Ophthalmology, Beijing Key Laboratory of Ophthalmology & Visual Sciences, Beijing 100730, China.
Zhonghua Yan Ke Za Zhi. 2021 Dec 11;57(12):952-957. doi: 10.3760/cma.j.cn112142-20210707-00324.
Pathological myopia, a blinding eye disease, is the most common cause of visual impairment in Asian countries. The most obvious features of pathological myopia are the elongation of the eye axis, the appearance of posterior scleral staphyloma, and even degenerative changes in the retina and choroid, resulting in corresponding complications and ultimately leading to marked visual impairment. Controlling the elongated eye axis is a key factor in preventing the complications of pathological myopia. Posterior scleral reinforcement is the main surgical method to delay the elongation of the eye axis and treat the posterior scleral staphyloma. Although most studies have confirmed that posterior scleral reinforcement is effective in delaying axial elongation and treating myopia, some scholars hold negative views on this surgery. This article summarizes the relevant research results of posterior scleral reinforcement surgery in the treatment of pathological myopia, concerning patients' vision, refractive power, eye axis, and corneal curvature, and discusses the effectiveness of the surgery. .
病理性近视是一种致盲性眼病,是亚洲国家视力损害的最常见原因。病理性近视最明显的特征是眼轴延长、后巩膜葡萄肿的出现,甚至视网膜和脉络膜的退行性改变,导致相应并发症,最终导致明显的视力损害。控制眼轴延长是预防病理性近视并发症的关键因素。后巩膜加固术是延缓眼轴延长和治疗后巩膜葡萄肿的主要手术方法。尽管大多数研究证实后巩膜加固术在延缓眼轴延长和治疗近视方面有效,但一些学者对此手术持否定态度。本文总结了后巩膜加固术治疗病理性近视的相关研究结果,涉及患者的视力、屈光力、眼轴和角膜曲率,并探讨了该手术的有效性。