[An analysis of the late results of scleroplasty in progressive myopia]

Abstract

Analysis of remote (to 9 years) results after 256 sclera-enhancing operations in patients with progressive myopia, aged from 7 to 48 years, revealed stabilization of the process in 72% of patients, the dependence of the effect on the form of myopia and the patient's age. As to prognosis, early acquired myopia and the children age are less favourable. The number of surgical failures increases in remote terms; in some patients the effect can be transitory. Therefore, surgical results should be judged about minimum 3 years after operation. Comparative examination of the state of a complex "graft-sclera" by means of computer tomography in satisfactory and unsatisfactory surgical results has shown that myopia continues to progress, as a rule, in case of reduced scleral density and the absence of roentgenologic signs of the graft. The action of scleroplasty on the appearance and course of central chorioretinal dystrophies has been studied.