[The optimization of a surgical intervention to stabilize progressive myopia]

Area of Science:

• Ophthalmology
• Surgical Procedures
• Myopia Management

Background:

• Progressive myopia poses a significant risk for vision impairment.
• Scleroplasty and chondroplasty are surgical interventions aimed at halting myopia progression.
• Long-term outcomes of these procedures require extensive follow-up.

Purpose of the Study:

• To evaluate the long-term efficacy of sclera-fortifying surgeries in stabilizing progressive myopia.
• To analyze the impact of these procedures on refractive error and ocular biometrics.
• To describe surgical techniques and postoperative management for scleroplastic operations.

Main Methods:

• Follow-up of 236 patients undergoing sclera-fortifying surgeries (bandaging scleroplasty or chondroplasty).
• Long-term monitoring (over 25 years) of clinical refraction and posteroanterior axis.
• Assessment of visual functions and brightness sensitivity threshold.

Main Results:

• Progressive myopia stabilization achieved in 95.8% after bandaging scleroplasty and 87.03% after chondroplasty.
• No increase in clinical refraction or eye's posteroanterior axis post-surgery.
• Stabilized visual functions and a lowered brightness sensitivity threshold observed.

Conclusions:

• Sclera-fortifying surgeries demonstrate high long-term efficacy in stabilizing progressive myopia.
• These procedures contribute to stable visual functions and improved light sensitivity.
• The study proposes an optimal approach for scleroplastic operations to manage progressive myopia.