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Scleral Cross-linking Using Riboflavin and Ultraviolet-A Radiation for Prevention of Axial Myopia in a Rabbit Model
Published on: April 3, 2016
Effect and safety posterior scleral reinforcement on controlling myopia in children: a meta-analysis
Jing Chen1, Yu Tang2, Zhihong Lin2
1Shenzhen Eye Hospital, Shenzhen Eye Institute, Jinan University, No. 18 Zetian Road, Futian District, Shenzhen, 518040, Guangdong, China.
Insights
Posterior scleral reinforcement (PSR) surgery effectively controls pediatric myopia progression by reducing axial length increase. This myopia control method shows acceptable safety and visual outcomes in children.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Surgical Interventions
Background:
- Pediatric myopia is a growing public health concern.
- Effective strategies for myopia control in children are crucial to prevent vision impairment.
Conclusions:
- Posterior scleral reinforcement (PSR) is a potentially effective therapeutic strategy for managing childhood myopia.
- PSR demonstrates acceptable safety and efficacy in controlling myopia progression.
Purpose:
The aim of this meta-analysis was to assess the efficacy of posterior scleral reinforcement (PSR) on the control of pediatric myopia. Electronic databases were systematically searched.
Methods:
Standardized mean differences (SMDs) of outcomes were calculated. Eight studies with 357 patients with pediatric myopia were included. The SMD for the increase in mean axial length (AL) in the PSR and control group was - 1.19 (95% CI - 1.71, - 0.68).
Results:
The SMD for decrease of best-corrected visual acuity (BCVA) LogMAR in the PSR and control group was 0.85 (95% CI 0.28, 1.43). The SMD for change in intraocular pressure (IOP) at the time of surgery and at the end of the follow-up period in the PSR group was - 0.01 (95% CI - 0.48, 0.47).
Conclusion:
This meta-analysis indicates that PSR surgery may be an effective therapeutic strategy to control the progression of myopia in childhood with acceptable adverse effects.
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