正确评价后巩膜加固手术对高度近视的防控作用  

Objective evaluation of the effect of posterior scleral reinforcement surgery on the prevention and control ofhighmyopia

作　　者：唐仕波 肖迎[3] Tang Shibo;Xiao Ying(Guangzhou Aier Eye Hospital Affiliated to Jinan University,Guangzhou 510632,China;Changsha Aier Eye Hospital,Aier Eye Institute,Changsha 410035,China;Department of Ophthalmology,Shandong Provincial Hospital Affiliated to the First Medical University of Shandong Province,Jinan 250021,China)

机构地区：[1]暨南大学附属广州爱尔眼科医院,广州510632 [2]爱尔眼科医院集团长沙爱尔眼科医院,长沙410035 [3]山东第一医科大学附属省立医院眼科,济南250021

出　　处：《中华眼底病杂志》2023年第8期626-633,共8页Chinese Journal of Ocular Fundus Diseases

基　　金：山东省医药卫生科技发展计划(2017WS469);山东省自然科学基金(ZR2022MH280)。

摘　　要：高度近视在我国发病率逐年攀升,发病年龄不断提前,目前已成为我国重要的公共卫生问题。在高度近视的治疗中,后巩膜加固手术已有超过60年的临床应用历史。后巩膜加固手术通过在薄弱的后极部球壁表面缝合一定大小的加固材料,使其与后极部巩膜融合,达到增加局部巩膜厚度和抗张能力、限制眼轴快速增长、减轻高度近视脉络膜视网膜病变的作用。目前后巩膜加固手术尚存在一定争议,在临床仍未得到广泛开展。针对后巩膜加固手术的作用机制、手术方式、应用材料及临床应用现状进行深入分析,可为该手术的进一步规范应用提供依据。Due to the high incidence and the earlier onset age,high myopia has become an important public health problem in China.Posterior scleral reinforcement surgery has been developed for over 60 years in order to control the rapid progression and complications of high myopia.By suturing a certain size of material on the surface of the posterior eyeball,thickness and elasticity modulus of the local sclera significantly increase.As the result,the rapid growth of the axial length and the chorioretinopathy could be alleviated.At present,controversies about its clinical efficacy and safety still exist,so posterior scleral reinforcement surgery has not been widely carried out all over the world.An in-depth analysis of the mechanism,surgical manipulations and materials,the clinical application status of posterior scleral reinforcement surgery on control of high myopia can provide a basis for further standardized application of this surgery.

关 键 词：近视 退行性 后巩膜加固手术 防控 述评 

分 类 号：R779.6[医药卫生—眼科]