Journal francais d'ophtalmologie · 1997
[Posterior scleral reinforcement surgery].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Chauvaud D, Assouline M, Perrenoud F
Аннотация
UNLABELLED: Scleral reinforcement is proposed to stabilize the visual acuity in patients with macular myopic staphyloma. Although many patients have been treated, this procedure is still debated.
PURPOSE: Evaluation of the feasibility of scleral reinforcement and the operative risk of this procedure.
PATIENTS AND METHODS: Patients were eligible for this prospective study patients with a clinical history of visual loss, staphyloma concerning the macular area associated with atrophic lesion and or lacquer cracks. Sixteen eyes in 13 successive patients have been operated on with a single band of PTFE.
RESULTS: At the last examination, visual acuity was unchanged for 14 cases. In one case, an improvement of the vision was related to the disappearing of a macular detachment by shortening of the axial length. In one case, vision decline was associated with inadequate band position. Diplopia occurred in 2 cases. A choroidal detachment, and a vitreous haemorrhage disappeared without sequelae.
CONCLUSION: An accurate technique is necessary to avoid operative risk. Further long term studies are needed to assess the benefit of scleral reinforcement.
PURPOSE: Evaluation of the feasibility of scleral reinforcement and the operative risk of this procedure.
PATIENTS AND METHODS: Patients were eligible for this prospective study patients with a clinical history of visual loss, staphyloma concerning the macular area associated with atrophic lesion and or lacquer cracks. Sixteen eyes in 13 successive patients have been operated on with a single band of PTFE.
RESULTS: At the last examination, visual acuity was unchanged for 14 cases. In one case, an improvement of the vision was related to the disappearing of a macular detachment by shortening of the axial length. In one case, vision decline was associated with inadequate band position. Diplopia occurred in 2 cases. A choroidal detachment, and a vitreous haemorrhage disappeared without sequelae.
CONCLUSION: An accurate technique is necessary to avoid operative risk. Further long term studies are needed to assess the benefit of scleral reinforcement.