饼式后巩膜加固术治疗未成年人病理性近视的临床观察

目的探讨未成年人病理性近视通过饼式后巩膜加固术治疗的临床效果。方法通过随机抽样法于本院2016年2月～2017年2月行饼式后巩膜加固术治疗的病理性近视未成年患者中选取20例(共30眼)作为实验组,于同期本院收治的非手术的病理性近视未成年患者中选取20例(共30眼)作为对照组,随访1年,对比两组视力、眼轴、屈光度改善情况。结果干预后,实验组裸眼视力、矫正视力均优于对照组,差异有统计学意义(P0.05);干预后,实验组屈光度与干预前比较,差异无统计学意义(P0.05),且实验组屈光度较对照组低,差异有统计学意义(P0.05);干预后,实验组眼轴与干预前对比差异无统计学意义(P0.05),且实验组眼轴长度小于对照组,差异有统计学意义(P0.05),两组干预前后眼压差异无统计学意义(P0.05);实验组患者均未出现严重并发症。结论未成年人病理性近视通过饼式后巩膜加固术治疗效果显著,可有效改善视力、屈光度,延缓眼轴增长,且不会对眼压造成明显影响,并发症少,值得选用。

Clinical observation on the treatment of pathological myopia in juveniles by cake-type posterior scleral reinforcement

Objective To investigate the clinical effect of cake-type posterior scleral reinforcement on pathological myopia in juveniles.Methods 20 juvenile myopia patients(30 eyes)who underwent the cake-type posterior scleral reinforcement from February 2016 to February 2017 were selected as the experimental group by the random sampling method.20 juvenile myopia patients(30 eyes in total)with pathological myopia who underwent non-surgical treatment were selected as the control group.The patients were followed up for 1 year.The improvement of visual acuity,axial length and diopter were compared between the two groups.Results After intervention,the naked visual acuity and corrected visual acuity of the experimental group were better than those of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the diopter of the experimental group before and after the intervention(P>0.05).The diopter of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference between the experimental before and after intervention(P>0.05).The axial length of the experimental group was smaller than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in intraocular pressure between the two groups before and after intervention(P>0.05).There were no serious complications in the experimental group.Conclusion The cake-type cake-type posterior scleral reinforcement in the treatment of pathological myopia of juveniles is effective,which can effectively improve vision,diopter,and delay the growth of the axial length,and will not have obvious impact on intraocular pressure,and is worthy of selection,with few complications.