后巩膜加固术在高度近视性黄斑病变手术中的应用

近视性黄斑病变致盲率高，常用治疗手段为玻璃体切割术，然而单纯玻璃体切割术对于已出现严重后巩膜葡萄肿的超高度近视患者疗效欠佳。近年来临床应用玻璃体切割术联合后巩膜加固术治疗高度近视继发眼底病变，特别在黄斑劈裂及黄斑裂孔病例中，疗效肯定，前景可期。我们针对近年来后巩膜加固术的材料与术式变迁作一全面综述，并进一步讨论其应用于眼底手术中的发展远景。

Application of posterior scleral reinforcement in high myopic maculopathy

The rate of blinding caused by high myopic maculopathy is high, vitrectomy is the most common treatment. However, the effectiveness of vitrectomy for high myopic patients who have serious posterior scleral staphyloma is not ideal. Recent years, posterior scleral reinforcement is used as a supplementary method with vitrectomy in clinical, treating for high myopic maculopathy. It achieves a positive curative effect especially in macular foveoschisis and macular hole cases. In this article, we introduced a review of history, current situation, material and surgery operand of scleral reinforcement. It also makes a further discussion of its prospects used in retina surgery.