NR 3-4/2003
|
|
|
|
|
|
|
|
|
Retrospektywna ocena oczu z krótkowzrocznością
postępującą u dzieci i młodzieży poddanych przed 10 laty zabiegowi
skleroplastyki wg Snydera i Thompsona
Treatment of high progressive myopia in children and
youth with scleroplasty ten years after Snyder and Thompson surgery
Maria Formińska-Kapuścik, Bożena Kamińska-Olechnowicz, Anna Sośnierz-Jupowiecka,
Renata Kinasz, Krzysztof Ochalik, Olga Domańska
Z I Katedry i Kliniki Okulistyki Śląskiej Akademii Medycznej w Katowicach
Kierownik: prof. zw. dr hab. n. med. Ariadna Gierek-Łapińska |
|
|
| Summary: |
Purpose: of the study was, to assess the
safety and efficiency of scleral reinforcement after Snyder and Thompson surgery.
Material and methods: The scleroplasty was performed on 129 eyes of 75
children with progressive myopia from 6 to 10 years of age. The control study group
included 40 eyes of 25 children with similar age, mean eyeball axial length and
refraction. In the control study group scleroplasty was not performed. The main indication
criteria for surgery included: severe myopia more than -6,0 D, and the increase in
refraction error more than -1,0 D per year. We evaluated the eyeball axial length in all
subjects, before time of surgery and ten years after surgery, using Ultrasound Alcon
Imaging System. The visual acuity, tonometry, visual field were evaluated as well.
Results: In the study group the mean eyeball axial length measured before
surgery was 25,95 mm ? 0,62 mm. Ten years after surgery the length of the eyeball was
26,97 mm ? 0,64mm. The average increase was 1,03mm ? 0,29 mm. In the control group, at
the time when study group children were operated, the mean eyeball axial length was 25.91
mm?0,48 mm, and ten years later it was 28,06 mm ? 0,59mm. The average increase in the
eyeball length was 2,13 mm ? 0,3 mm. There was statistically significant difference
between the eyeball axial length progression in the study group and the control group,
where surgery was not performed. In the study group no serious complications after surgery
were reported.
Conclusions: Scleral reinforcement is an effective and safe surgery, that
can stabilize the progression of severe myopia in children. |
| Słowa kluczowe: |
wysoka krótkowzroczność postępująca, opasanie południkowe,
długość osi gałki ocznej. |
| Key words: |
high progressive myopia, meridional encircling, the eyeball
axial length. |
|
|
|
|
|
|
