低温巩膜加固术治疗进行性近视的疗效

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详细

目的: 评估低温巩膜加固术的有效性。

材料和方法: 对184名中度和高度进行性近视的儿童（313只眼睛）（平均年龄为11.72±3.76岁）进行了低温巩膜加固术（观察组）和Pivovarov’s巩膜加固术（对照组）术前及术后对比。

结果: 根据两年随访期间获得的数据，在低温巩膜加固术后的患者组中，折射球面等效的年均差（∆SEm）和前后轴的平均年梯度（∆APAm）都比较小。在较小年龄亚组（9岁以下）的儿童中，观察组的∆SEm为-0.48±0.45D，对照组为-0.51±0.34D；在较大年龄亚组（9岁及以上），观察组为-0.35±0.31D，对照组为-0.69±0.61D（p=0.047）。观察组9岁以下儿童的∆APAm为0.15±0.11毫米，对照组为0.31±0.14毫米（p=0.016）；9岁及以上儿童的∆APAm分别为0.29±0.18毫米和0.34±0.32毫米。

结论: 所开发的低温巩膜加固术在眼球内部有鼻下侧和颞上侧两个手术入口；巩膜加固术材料 均匀地附着在巩膜上，覆盖眼球的四个象限；固定在眼直肌下；观察期为24个月，显示出良好的稳 定效果。

作者简介

Nikolay Pashtaev

S.N. Fedorov Eye Microsurgery Federal State Institution, the Cheboksary Branch; I.N. Ulyanov Chuvash State University

编辑信件的主要联系方式.
Email: pashtaevnp@gmail.com
ORCID iD: 0000-0003-2324-8044
SPIN 代码: 9629-3161

Dr. Sci. (Med.), professor

俄罗斯联邦, 10, Traktorostroiteley str., Cheboksary, 428028; Cheboksary

Irina Grigorieva

S.N. Fedorov Eye Microsurgery Federal State Institution, the Cheboksary Branch

Email: grigir09@mail.ru
ORCID iD: 0000-0003-1107-9810
SPIN 代码: 4635-3437

ophthalmologist

俄罗斯联邦, 10, Traktorostroiteley str., Cheboksary, 428028

参考

  1. Neroev VV. Eye care management in russian federation. The Russian Annals of Ophthalmology. 2014;130(6):8–12. (In Russ.)
  2. Katargina LA, Mikhailova LA. The current stage of the ophthalmological care service in the Russian Federation (2012–2013). Russian Pediatric Ophthalmology. 2015;(1):5–10. (In Russ.)
  3. Fricke TR, Jong M, Naidoo KS, et al. Global prevalence of visual impairment associated with myopic macular degeneration and temporal trends from 2000 through 2050: systematic review, meta-analysis and modelling. Br J Ophthalmol. 2018;102(7):855–862. doi: 10.1136/bjophthalmol-2017-311266
  4. Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036–1042. doi: 10.1016/j.ophtha.2016.01.006.
  5. Tarutta EP, Proskurina OV, Tarasova NA, et al. Myopia predictors as a starting point for active prevention of myopia development. Russian Ophthalmological Journal. 2018;11(3):107–112. (In Russ.) doi: 10.21516/2072-0076-2018-11-3-107-112
  6. Tarutta EP, Proskurina OV, Markossian GA, et al. A strategically oriented conception of optical prevention of myopia onset and progression. Russian Ophthalmological Journal. 2020;13(4):7–16. (In Russ.) doi: 10.21516/2072-0076-2020-13-4-7-16
  7. Iomdina EN. Biomehanika skleral’noj obolchki glaza pri miopii: diagnostika narushenij i ih jeksperimental’naja korrekcija [dissertation]. Moscow, 2000. 48 p. Available from: https://www.elibrary.ru/item.asp?id=30190377. (In Russ.)
  8. Avetisov SE, Kashhenko TP, Shamshinova AM. Zritel’nye funkcii i ih korrekcija u detej: rukovodstvo dlja vrachej. Moscow: Medicina, 872 p. (In Russ.)
  9. Kornilovskij IM. Patogeneticheskie aspekty stabilizacii miopii posle skleroplasticheskih operacij. Journal of Ophthalmology. 1987;42(6):343–347. (In Russ.)
  10. Tarutta EP, Markossian GA, Sianosyan AA, Milash SV. Choroidal thickness in varied types of refraction and its changes after sclera strengthening surgeries. Russian Ophthalmological Journal. 2017;10(4): 48–53. (In Russ.) doi: 10.21516/2072-0076-2017-10-4-48-53
  11. Iomdina EN, Andreeva LD. Biomehanicheskoe i morfologicheskoe izuchenie otdalennyh rezul’tatov skleroukrepljajushhej injekcii v jeksperimente. In: Patologija opticheskih sred. Moscow; 1989. P. 127–130. (In Russ.)
  12. Avetisov SE, Fridman FE, Saksonova EO, et al. Rol’ rastjazhenija sklery v geneze miopicheskih vitreohorioretinal’nyh distrofij. Journal of Ophthalmology. 1988;43(3):137–138. (In Russ.)
  13. Eliseeva EV. Skleroukrepljajushhie operacii: uchebnoe posobie. Karaganda, 2007. (In Russ.)
  14. Tarutta EP. Vybor metoda skleroplastiki pri progressirujushhej blizorukosti u detej. The Russian Annals of Ophthalmology. 1992;108(2):10–13. (In Russ.)
  15. Gerinec A, Slezakova G. Posterior scleroplasty in children with severe myopia. Bratisl Lek Lisky. 2001;102(2):73–80.
  16. Wollensak G, Iomdina Е. Long-term biomechanical properties of rabbit sclera after collagen crosslinking using riboflavin and ultraviolet A (UVA). Acta Ophthalmol. 2009;87:193–198. doi: 10.1111/j.1755-3768.2008.01229.x
  17. Patent RUS2697240/30.08.2018 Pashtaev. NP, Grigor’eva IN, Shahmatova IP. Sposob hirurgicheskogo lechenija progressirujushhej miopii. Available from: https://new.fips.ru/registers-doc-view/fips_servlet. (In Russ.)
  18. Pashtaev NP, Grigorieva IN. Preliminary results of modifed cryogenic scleroplasty. Saratov Journal of Medical Scientific Research. 2019;15(2):515–517. (In Russ.)
  19. Sitka MM, Bodrova SG, Tikhonova OI, et al. Assessment of influence of various eye parameters in emmetropia children on myopia development. Ophthalmology in Russia. 2020;17(2):263–268. (In Russ.). doi: 10.18008/1816-5095-2020-2-263-268

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2. 图.1.结膜和Tenon’s囊切口的位置示意图（左眼）。1—在鼻下象限，2—在颞上象限 Fig. 1. Scheme of the location of the incisions of the conjunctiva and tenon capsule (left eye). 1 – in the inferio-nasal quadrant, 2 – in the superio-temporal quadrant

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3. 图.2.移植物在鼻下象限的位置示意图（左眼）。1—下直肌，2—内直肌 Fig. 2. Layout diagram transplants in the inferio-nasal quadrant (left eye). 1 – m. rectus inferior, 2 – m. rectus medialis

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4. 图.3.移植物在颞上象限的位置示意图（左眼）。1—外直肌，2—上直肌 Fig. 3. Layout diagram transplants in the superio-temporal quadrant (left eye). 1 – m. rectus lateralis, 2 – m. rectus superior

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