[A combination of scleroplasty with intrascleral revascularization in myopia]

A combination of scleroplasty after Pivovarov-Pristavko with revascularization of the sclera in the author's modification was used for treatment of myopic disease with expressed dystrophic changes in the eye fundus (stages III-V). For revascularization, the Tenon's capsule is used. It is introduced and sutured in the intrascleral pocket in the superexternal quadrant of the eye ball. The operation was used in 31 patients (35 eyes). No complication was recorded. Remote observations, from 1 to 3 years, over 21 patients (23 eyes) have shown stabilization of dystrophic processes and preservation or rise of visual acuity in 21 eyes (91%). The effectiveness of the operation is explained by improved blood circulation in the eye coats on account of both scleroplasty and revascularization of the sclera by the Tenon's capsule.