Related Experiment Videos
Long-term results of scleroplasty operations in children
1Department of Ophthalmology, Faculty of Medicine, Charles University, Mediservis, Hradec Králové.
Insights
Scleral reinforcement surgery using irradiated human sclera can help slow myopia progression in children. This procedure improved visual acuity in patients with both progressive and severe myopia.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Surgical Interventions
Background:
- Myopia, a common refractive error, can lead to significant visual impairment.
- Progressive and severe myopia in children necessitates effective interventions to prevent further vision loss.
- Scleral reinforcement is a surgical technique aimed at stabilizing or slowing myopia progression.
Purpose of the Study:
- To evaluate the efficacy of scleroplasty in managing myopia progression in children.
- To assess the impact of scleral reinforcement on visual acuity over time.
- To determine the optimal biomaterial for scleral reinforcement procedures.
Main Methods:
- A retrospective analysis of 773 scleroplasty operations performed on 411 children (mean age 11.3 years).
- Utilized irradiated human sclera as the primary biomaterial for scleral reinforcement.
- Monitored myopia progression (diopters/year) and visual acuity at multiple postoperative intervals.
Main Results:
- Irradiated human sclera demonstrated effectiveness as a reinforcement material.
- Mean myopia progression was recorded as 0.26 D/year for myopia progressiva and 0.23 D/year for myopia gravis.
- Significant improvements in visual acuity were observed at 1, 4, and 6 years post-surgery for both myopia types (p < 0.0002).
Conclusions:
- Scleral reinforcement surgery is a viable option for controlling myopia progression in pediatric patients.
- The use of irradiated human sclera is effective for scleral reinforcement.
- The procedure leads to a statistically significant improvement in visual acuity, offering a positive influence on myopia management.
Abstract:
The authors refer results of 773 scleroplasty operations performed in 411 children, mean age was 11.3, S.D. 3.6 years. Irradiated human sclera proved to be the best material for scleral reinforcement. Mean myopia progression was 0.26 D/year in myopia progressiva and 0.23 D/year in myopia gravis. Mean visual acuity was better in all intervals after surgery (p = 0.0000 one and four years after, 0.0002 six years after in myopia progressiva, in the same intervals in myopia gravis it was 0.0009, 0.0027, 0.0002). Scleral reinforcement can positively influence myopia progression.