高度近视后巩膜葡萄肿加固术疗效评价  

Evaluation on the efficacy of posterior scleral reinforcement for the treatment of high myopia with post-scleral staphyloma

作　　者：游昌涛 李玉军 李帅飞 You Changtao;Li Yujun;Li Shuaifei(Zhengzhou Aier Eye Hospital, Zhengzhou 450000, China)

机构地区：[1]郑州爱尔眼科医院,郑州450000

出　　处：《中华眼外伤职业眼病杂志》2019年第9期684-688,共5页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评估高度近视后巩膜葡萄肿患者应用后巩膜加固术治疗的效果。方法收集该院2016年6月至2018年4月收治的高度近视后巩膜葡萄肿62例(102眼),均接受后巩膜加固术治疗,随访6~10个月观察其效果。结果术后的屈光度以及眼轴长度、最佳矫正视力与术前相比差异有统计学意义(P<0.05),手术前后的眼动脉、睫状后动脉、视网膜中央动脉的平均血流速度、收缩期的峰值血流速度、舒张末期的血流速度,并计算波动指数、阻力指数,各指标参数对比差异均无统计学意义(P>0.05)。无严重的压迫缺血性病变、视网膜脱离或感染等并发症发生。结论后巩膜加固术用于高度近视后巩膜葡萄肿治疗,可延缓屈光度以及眼轴增长,稳定并提高患者的视力。Objective To evaluate the efficacy of posterior scleral reinforcement in patients with high myopia with post-scleral staphyloma. Methods The data of 102 eyes of 62 cases of high myopia with post-scleral staphyloma in this hospital from Jun.2016 to Apr.2018 were collected. All cases received posterior scleral reinforcement.The followed-up time was 6-10 months. Results The differences of postoperative diopter, axial length and the best corrected visual acuity were statistically significant between before and after surgery (P<0.05). The differences in ophthalmic artery, posterior ciliary artery, central retinal artery acceleration velaity (AV), peak blood flow velocity (PSV), end-diastolic blood flow velocity (EDV), pulsation index (PI) and resistance index (RI) were not statistically significant (P>0.05). No serious complication such as ischemic optic neuropathy, retinal detachment or infection occurred. Conclusion Posterior scleral reinforcement in the treatment of high myopia with post-scleral staphyloma can effectively control the diopter and axial growth, as well as improve the visual acuity.

关 键 词：近视 高度 葡萄肿 后巩膜 加固术 后巩膜 参数 血流动力学 

分 类 号：R779.6[医药卫生—眼科]