目的:探讨采用人工心包补片进行后巩膜植入术治疗病理性近视的疗效。方法:应用人工心包补片材料,对56例102眼病理性近视进行后巩膜植入术,随访1a。结果:患者术前眼轴为28.83±3.12mm,术后第1d;1,6mo;1a眼轴分别为:28.71±3.14mm,28.76±3.22mm,28.84±3.17mm,28.88±3.31mm,与术前比较,差异无统计学意义(P>0.05);术前屈光度为-17.42±6.71D,术后第1d;1,6mo;1a为-17.31±6.51D,-17.43±6.42D,-17.35±6.62D和-17.34±6.72D,与术前比较,差异无统计学意义(P>0.05),术后矫正视力提高的97眼(95.1%),稳定的4眼(3.9%),视力下降1眼(1.0%),少数眼出现短暂眼压升高,用药后控制,没有出现严重的并发症。结论:以人工心包补片作为加固材料的巩膜后植入术,能有效的控制病理性近视的眼轴增长,稳定屈光度和改善视力,并发症少。

AIM:To evaluate the effect of posterior scleral implantation surgery to treat pathologic myopia with the fibers of artificial pericardium.·METHODS:Fifty-six patients (102 eyes)with pathologic myopia were treated with posterior scleral implantation surgery with the fibers of artificial pericardium and were followed up for 1 year after the operation.·RESULTS:The preoperative mean axial length was 28.83±3.12mm.The postoperative axial length was 28.71±3.14mm at 1 day,28.76±3.22mm at 1 month,28.84±3.17mm at 6 months,and 28.88±3.31mm at 1 year.There were no statistically significant differences between preoperative and postoperative axial length (P>0.05).The preoperative mean refraction(spherical equivalent,SE)was-17.42±6.71 diopters (D).The postoperative SE was-17.31±6.51D at 1 day,-17.43±6.42D at 1 month,-17.35±6.62D at 6months,and-17.34±6.72D at 1 year.There were no statistically significant differences between preoperative and postoperative diopters (P>0.05).Differences between best corrected visual acuity(BCVA)before and after surgery were not statistically significant.The postoperative BCVA were improved in 97 eye (95.1%),stable in 4 eyes(3.9%),and only 1 eye’s visual acuity(1.0%) was impaired.6 eyes’ intraocular pressure was heightened,and then quickly controlled with medicine.No other serious complications were observed.·CONCLUSION:This study indicates that posterior scleral implantation surgery with the fibers of artificial pericardium as the strengthened materials can effectively control eye’s axial length of pathologic myopia,stabilize the progression of diopters and improve eyesight.Meantime,there are not serious complications.

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