Posterior scleral reinforcement combined with patching therapy for pre-school children with unilateral high myopia

Shen, Zhaomeng; Zhang, Zhen-Yong; Lin-yi, Zhang; Li, Zhiguo; Chu, Ren-yuan

doi:10.1007/s00417-015-2963-9

Cited by 30 publications

(25 citation statements)

References 11 publications

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“…Our results showed that the mean axial elongation was 0.13 ± 0.17 mm over 1 year in the PSR group, while it was 0.71 ± 1.08 mm in the control group. These results are similar to previous studies [26][27][28]. During the 1-year follow-up period, there was no postoperative complication.…”

Section: Discussionsupporting

confidence: 92%

Axial Length/Corneal Radius of Curvature Ratio Assessment of Posterior Sclera Reinforcement for Pathologic Myopia

Zhao

et al. 2017

Ophthalmologica

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Purpose: The aim of this study was to assess the axial length/corneal radius of curvature ratio changes after posterior scleral reinforcement (PSR) for pathologic myopia. Procedures: This study enrolled 32 pathologically myopic eyes treated with PSR and 35 untreated pathologically myopic eyes. Axial length, refractive error, best corrected visual acuity, corneal radius of curvature, and the axial length/corneal radius of curvature ratio were evaluated during the 1-year follow-up. Results: There were no statistical differences in each parameter between the 2 groups at baseline. Significant differences were found between the 2 groups in both axial elongation and best corrected visual acuity improvement. The average axial length/horizontal corneal radius of curvature ratio significantly decreased in the PSR group. Conclusion: The PSR surgery can effectively delay the axial elongation in pathological myopia. Axial length/horizontal corneal radius of curvature ratio significantly decreased, which may indicate less myopic progression after surgery.

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Section: Discussionsupporting

confidence: 92%

Axial Length/Corneal Radius of Curvature Ratio Assessment of Posterior Sclera Reinforcement for Pathologic Myopia

Zhao

et al. 2017

Ophthalmologica

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“…Until recently, there was no widely accepted surgical treatment to prevent the progression of axial elongation and staphyloma; however, surgeons have attempted to prevent the progression of axial elongation and staphyloma by placing grafts, called "posterior scleral reinforcement" (PSR), over the posterior part of the eyes. Shen et al [6] and others reported positive results for the efficacy and safety of PSR in several of their cases [7][8][9] ; however, Karabatsas et al [10] reported negative results of PSR. The reason for the conflicting results might be associated with inconsis-tent standards regarding the reinforcement material or with inaccurate placement of the reinforcement band.…”

mentioning

confidence: 99%

Using High-Resolution 3D Magnetic Resonance Imaging to Quantitatively Analyze the Shape of Eyeballs with High Myopia and Provide Assistance for Posterior Scleral Reinforcement

et al. 2017

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Purpose: To quantitatively analyze the shape of eyes with high myopia and provide assistance for posterior scleral reinforcement (PSR) using high-resolution three-dimensional (3D) magnetic resonance imaging (MRI). Method: In all, 260 eyes of 134 patients with high myopia were assessed in this study; 120 emmetropic volunteers were enrolled as a control group. The subjects were examined using 3D T2-weighted CUBE sequences. Results: The eyeballs' axial, horizontal, and vertical lengths were longer and their volume was larger in the subjects with high myopia than in those with emmetropia. The sites of the four recti and optic nerve attachment to the eye were clearly seen on 3D MRI, and the geometric information could be quantified for PSR preparation. The scleral strip was revealed by 3D MRI after surgery. Conclusions: 3D MRI can quantitatively analyze the shape of eyes with high myopia. 3D MRI examination might be necessary before and after PSR for preoperative preparation and postoperative assessment.

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“…The study proposed that PSR surgery combined with patching therapy is a reliable method for arresting the progression of myopia. 150 Patients who underwent PSR surgery have shorter mean axial length and lower mean refractive error in comparison to the control group. 151,152 In accordance with studies, newer buckle shapes, buckle materials, techniques and modifications have emerged for treatment of pathological myopia and its complications.…”

Section: Surgical Managementmentioning

confidence: 89%

<p>Pathogenesis and Prevention of Worsening Axial Elongation in Pathological Myopia</p>

Pugazhendhi¹,

Ambati²,

Hunter³

2020

OPTH

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Purpose: This review discusses the etiology and pathogenesis of myopia, prevention of disease progression and worsening axial elongation, and emerging myopia treatment modalities. Introduction: Pediatric myopia is a public health concern that impacts young children worldwide and is associated with numerous future ocular diseases such as cataract, glaucoma, retinal detachment and other chorioretinal abnormalities. While the exact mechanism of myopia of the human eye remains obscure, several studies have reported on the role of environmental and genetic factors in the disease development.Methods: A review of literature was conducted. PubMed and Medline were searched for combinations and derivatives of the keywords including, but not limited to, "pediatric myopia", "axial elongation", "scleral remodeling" or "atropine." The PubMed and Medline database search were performed for randomized control trials, systematic reviews and metaanalyses using the same keyword combinations. Results: Studies have reported that detection of genetic correlations and modification of environmental influences may have a significant impact in myopia progression, axial elongation and future myopic ocular complications. The conventional pharmacotherapy of pediatric myopia addresses the improvement in visual acuity and prevention of amblyopia but does not affect axial elongation or myopia progression. Several studies have published varying treatments, including optical, pharmacological and surgical management, which show great promise for a more precise control of myopia and preservation of ocular health. Discussion: Understanding the role of factors influencing the onset and progression of pediatric myopia will facilitate the development of successful treatments, reduction of disease burden, arrest of progression and improvement in future of the management of myopia.

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Posterior scleral reinforcement combined with patching therapy for pre-school children with unilateral high myopia

Abstract: PSR combined with the patching therapy has the potential to arrest the progression of high myopia and to help the treatment for amblyopia.

Cited by 30 publications

References 11 publications

Axial Length/Corneal Radius of Curvature Ratio Assessment of Posterior Sclera Reinforcement for Pathologic Myopia

Axial Length/Corneal Radius of Curvature Ratio Assessment of Posterior Sclera Reinforcement for Pathologic Myopia

Using High-Resolution 3D Magnetic Resonance Imaging to Quantitatively Analyze the Shape of Eyeballs with High Myopia and Provide Assistance for Posterior Scleral Reinforcement

<p>Pathogenesis and Prevention of Worsening Axial Elongation in Pathological Myopia</p>

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