[Choice of a scleroplasty method in progressive myopia in children]

Dynamic analysis of the results of sclera-fortifying interventions (scleroplasty and sclera-fortifying injection) in children aged 8 to 12 has demonstrated that in many cases myopia stabilized but temporarily after sclera fortification in children with progressive myopia. Repeated sclera-fortifying interventions reduced the rate of postoperative myopia progress approximately twofold, the myopia stabilization period lasting for 1 to 2 years; in some cases myopia progress ceased after a repeated intervention. In 67% of patients myopia on the second eye did not progress for 6 months after sclera-fortifying injection and for a year after scleroplasty on the first eye. Sclera fortification in the paired eye is advisable within these periods. Analysis of the results from the viewpoint of the general mechanisms of scleroplasty effect has lead the authors to a conclusion that sclera-fortifying therapy of children with high progressive myopia should be carried out in several stages. A system of sclera-fortifying treatment of progressive myopia has been developed, and the continuity of methods used for this purpose validated. Effects of this treatment scheme on refraction and status of the fundus oculi are estimated.