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本文报告242例(478眼)30岁以下青少年病理性近视之眼底损害,重点观察了视乳头斜入、脉络膜环形萎缩斑、后巩膜葡萄肿、玻璃体混浊和斑块状病变。按年龄分为儿童组、青少年组和青年组,眼底损害轻重度随年龄增长而加重,三组间有显著性差异,20岁以上之青年组患者眼底损害显著加重。本文认为防治性手术应于20岁之前进行;10岁以下儿童近视呈进行性发展者是手术之最佳年龄,提议5岁后即可进行后巩膜增强术。单眼病理性近视之患儿,其对侧眼近视虽尚轻,但近1-2年内呈进行性发展者,此对侧眼仍然是后巩膜增强术之适应症;合并白内障之成年患者应先行后巩膜增强术。
This paper reports 242 cases (478 eyes) of young people under 30 years of age-induced pathological myopia of the eye damage, focusing on the optic disc oblique, choroidal annular atrophy, posterior staphyloma, vitreous opacity and plaque lesions. According to the age group, the young group and the youth group, the severity of fundus injury aggravated with age, there were significant differences among the three groups, and the youth group over 20 years old had a significant increase of fundus damage. This article suggests that the prevention of surgery should be carried out before the age of 20; children under 10 years of progression of myopia was the best age for surgery, the proposed 5-year-old post-scleral augmentation. Monocular pathological myopia in children, although the contralateral eye myopia is still light, but within 1-2 years were progressive development, the contralateral eye is still an indication of posterior scleral enhancement; adult patients with cataract should be the first Scleral Reinforcement.