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| Clinical Observation of Posterior Scleral Buckling in the Treatment of Pathological Myopia with Macular Splitting |
| Yang Liu1, Linnong Wang1, Anquan Xue2, Guiyang Zhao1 |
| 1
Department of Ophthalmology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China
2
Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China |
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Abstract Objective: To investigate the therapeutic effect of posterior scleral contraction on macular splitting in
pathologic myopia. Methods: This was a retrospective study. Posterior scleral contraction was performed
on 45 eyes (24 cases) with macular cleft palate from December 2014 to April 2017 from Nanjing First
Hospital. Outcomes, including BCVA, ocular axial length, refractive error, central foveal thickness
and surgical complications, were observed at the preoperative baseline and postoperatively 1, 3, 6 and
12 months. Data were performed by repeated measures analysis of variance. Results: Central foveal
thickness preoperatively and postoperatively at 1, 3, 6 and 12 months was 494±31, 299±24, 256±24,
200±22, 168±25 μm, respectively. Both decreased significantly compared with preoperative measurements(P<0.05). Axial length postoperatively at 1, 3, 6 months was 28.6±2.1, 28.9±2.0, 29.3±2.0 mm, which
was a statistically significant compared to the baseline 30.5±2.2 mm (P<0.05). Axial length at 12 months
was 29.8±2.1 mm, which was no statistically significant difference compared to the baseline (P>0.05).
Refractive errors at 1 and 3 months were -15.14±5.16 D and -15.64±5.05 D, which was a statistically
significant diminishment compared to the baseline (-17.33±7.43 D)(P<0.05). Refractive errors at 6 and
12 months were -15.96±4.97 D and -17.05±5.10 D, which was no statistically significant difference
compared to the baseline (P>0.05). There was no statistically significant difference of BCVA between the
preoperative and the postoperative (P>0.05). Conclusions: Posterior scleral contraction might become a
safe and effective way to treat macular cleavage in high myopia with or without retinal detachment.
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Received: 08 October 2018
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Corresponding Authors:
Linnong Wang, Department of Ophthalmology, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, China (Email: linnongwang@aliyun.com)
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