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为了解后巩膜加固术的远期效果。对482例加固术中47例资料完整者进行术前和术后四年对比分析。结果:裸眼视力:术前0.045±0.025,术后1月0.082±0.035,术后1年0.051±0.028,远期0.047±0.029。矫正视力:术前0.572±0.143,远期0.610±0.148。眼轴:术前30.12±1.18mm,远期30.18±1.21mm。屈光度:术前-19.82±2.26D,远期-20.04±2.20D。36眼术前每年加深≥1D,术后28眼稳定。25例术后无不适,16眼有与手术无关的症状,病人对手术满意率85%。结论:后巩膜加固术对阻止近视发展,保护视功能确实有效,是目前为止治疗高度近视最佳预防性方法。
To understand the long-term effect of posterior scleral reinforcement. Forty-eight cases of 482 cases of consolidation were analyzed preoperatively and postoperatively for four years. Results: The uncorrected visual acuity was 0.045 ± 0.025 before operation, 0.082 ± 0.035 at 1 month after operation, 0.051 ± 0.028 at 1 year after operation and 0.047 ± 0.029 at long-term. Corrected visual acuity: preoperative 0.572 ± 0.143, forward 0.610 ± 0.148. Axis: preoperative 30.12 ± 1.18mm, forward 30.18 ± 1.21mm. Diopter: pre-19.82 ± 2.26D, forward -20.04 ± 2.20D. Thirty-six eyes deepened more than 1D every year and 28 eyes were stable after operation. Twenty-five patients had no discomfort, 16 had symptoms unrelated to the operation, and the patient’s satisfaction rate was 85%. Conclusion: Posterior scleral reinforcement is effective in preventing the development of myopia and protecting visual function, which is by far the best preventive method for treating high myopia.