[The late results of different methods of sclera-reinforcing operations on children and adolescents suffering from progressive myopia].

巩膜 医学 眼科 外科
作者
N N Bushueva
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期刊:PubMed 卷期号: (4): 194-8 被引量:1
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The paper analyses immediate and remote results of different methods of sclera-enhancing operation in the posterior segment and equatorial zone of the eye in 362 children and juveniles (407 eyes) with progressive myopia, aged from 5 to 15 years. It is shown that for enhancement of the sclera in the posterior segment of the eye it is more advisable to use X-and Y-shaped grafts after the method of N. A. Puchkovskaia, A. S. Seniakina, G. G. Melikov or V. S. Beliaev. Stabilization of the myopic process within 6-7 years was recorded in 83.4% of cases. The method of scleroplasty after the N. N. Pivovarov's method is more preferable for enhancement of the sclera in the equatorial zone of the eye. Stabilization of the process within 3 years was recorded in 77.7%. Administration of autologous blood with hydrocortisone into the tenon's space after the A. S. Novokhatskiĭ stabilizes the myopic process within a year in 83.3% of cases. Donor material can be successfully replaced by a bioinert artificial synthetic Texplant for sclera-enhancing operations in dystrophic changes of the sclera in any part of localization. Stabilization of the myopic process within 5 years was recorded in 97.2% of cases.

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