In:
BioMed Research International, Hindawi Limited, Vol. 2019 ( 2019-01-22), p. 1-7
Abstract:
Purpose . To investigate the safety and therapeutic effect of a modified posterior scleral reinforcement (PSR) in treating high myopia. Methods . A total of 85 highly myopic eyes in 47 children (6.3±3.6 years of age, range from 3 years to 15 years) who underwent this modified PSR were included in this study. Axial length, refractive error, best-corrected visual acuity (BCVA), macular scans, and adverse events were recorded before the operation (as a baseline) and in postoperative reviews taken yearly for 5 years. Results . This was a 5-year research: 50% of the children (20 children, 40 eyes) participated in the 6-month review, 41% of the children (17 children, 33 eyes) participated in the 1-year review, 26% of the children (11 children, 21 eyes) participated in the 2-year review, 16% of the children (7 children, 13 eyes) participated in the 3-year review, 13% of the children (5.3 children, 11 eyes) participated in the 4-year review, and 8% of the children (3.3 children, 7 eyes) participated in the 5-year review. Compared with the baseline, axial elongation was significantly changed ( P 〈 0.05) over the 5-year period in all of the children: 6-month ( P =0.003), 1-year ( P =0), 2-year ( P =0), 3-year ( P =0), 4-year ( P =0), and 5-year ( P =0). The axial length was extended. No significant difference was found in refractive error between measurements taken at baseline and at the 5-year postoperative visit in all of the children: 6-month ( P =0.51), 1-year ( P =0.50), 2-year ( P =0.46), 3-year ( P =0.56), 4-year ( P =0.30), and 5-year ( P =0.16). There were significant differences in BCVA between measurements taken at baseline and at the postoperative 5-year visit in all the children: 6-month ( P =0), 1-year ( P =0), 2-year ( P =0), 3-year ( P =0), 4-year ( P =0), and 5-year ( P =0). BCVA improved in 71 eyes (83.52%), remained stable in 14 eyes (16.47%), and declined in none of the children. No serious adverse events occurred before the operation and during the 5-year follow-up period. Conclusion . This modified PSR could be a therapeutic treatment for high myopia.
Type of Medium:
Online Resource
ISSN:
2314-6133
,
2314-6141
DOI:
10.1155/2019/5185780
Language:
English
Publisher:
Hindawi Limited
Publication Date:
2019
detail.hit.zdb_id:
2698540-8
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