POSTERIOR SCLERAL CONTRACTION TO TREAT MYOPIC FOVEOSCHISIS IN HIGHLY MYOPIC EYES
Autor: | Jie Ye, An-Peng Pan, Anquan Xue, F. Lu, Lin-yan Zheng, Shuangqian Zhu |
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Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Fovea Centralis Visual acuity Contraction (grammar) Time Factors genetic structures Retinoschisis Posterior pole Visual Acuity Refraction Ocular Snellen acuity Foveoschisis 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Humans Aged Retrospective Studies business.industry General Medicine Axial length Middle Aged eye diseases Sclera Axial Length Eye Scleral Buckling 030104 developmental biology medicine.anatomical_structure Treatment Outcome Myopia Degenerative 030221 ophthalmology & optometry Disease Progression Female sense organs medicine.symptom business Tomography Optical Coherence Follow-Up Studies |
Zdroj: | Retina (Philadelphia, Pa.). 41(5) |
ISSN: | 1539-2864 |
Popis: | PURPOSE To evaluate the efficacy of posterior scleral contraction to treat myopic foveoschisis (MF). METHODS The records of MF patients treated with posterior scleral contraction were reviewed. During posterior scleral contraction, a cross-linked fusiform strip from allogeneic sclera was used and designed axial length (AL) shortening amount was around 2.0∼3.0 mm based on preoperative AL. The middle part of the strip was placed at the posterior pole of the eye. After few aqueous humors were released, the strip was tightened to contract posterior sclera and shorten AL. Clinical data were collected at pre-operation (op) and post-op follow-ups for 12 months. RESULTS Twenty-four eyes were collected. The AL at pre-op, post-op 1-week, 3-month, 6-month, and 12-month were 29.84 ± 1.24, 27.39 ± 1.32, 27.73 ± 1.23, 27.86 ± 1.26, and 27.91 ± 1.29 mm. There was no AL difference between post-op 6-month and 12-month (P = 0.242). The accumulated MF reattachment rate at post-op 1-week, 3-month, 6-month, and 12-month were 8.3%, 16.7%, 50.5%, and 95.8%. The best-corrected visual acuity at post-op 6-month and 12-month were 0.71 ± 0.39 (Snellen acuity 20/80) and 0.64 ± 0.37 (Snellen acuity 20/63), improving significantly compared with pre-op (P = 0.006 and |
Databáze: | OpenAIRE |
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