Surgical treatment of congenital myopia in children

Ophthalmological data and results of surgical treatment in 81 children with congenital myopia are analysed. The methods used were simple, accessible for children ophthalmological practice: scleroplasty after Pivovarov-Pristavko (group I), modified chondroplasty (group II), simplified scleroplasty with revascularization of the Tenon's capsule after Beliaev (group III). Analysis of immediate results of operation has shown that any method of scleroplasty leads to increase of visual acuity, reduction of refraction and shortening of the anteroposterior axis of the eye. Signs of tenonitis after operation were recorded in most of the patients from group I, in one third of cases in group III and were absent in group II. The choice of the surgical method should be differential considering ophthalmological data of each patient. In children practice simplified methods of scleroplasty should be used, including chondroplasty, allowing to shorten the time of operation and to prevent operative and postoperative complications.