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The efficacy and safety of modified Snyder–Thompson posterior scleral reinforcement in extensive high myopia of Chinese children

  • Minjie Chen
  • Jinhui DaiEmail author
  • Renyuan Chu
  • Yifeng Qian
Pediatrics

Abstract

Background

To observe the efficacy and safety of modified Snyder–Thompson posterior scleral reinforcement in extensive high myopia of Chinese children. We had a retrospective design, and included a control group of children with natural progression of high myopia.

Methods

This study included 64 eyes in 41 Chinese children with extensive high myopia who underwent modified Snyder–Thompson posterior scleral reinforcement surgery (PSR group), and 17 eyes in 11 age- and myopia-matched children who wore spectacles (control group). The mean follow-up was 4.99 ± 1.3 years in the PSR group and 4.48 ± 1.3 years in the control group. Axial length, spherical equivalent (SE), uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA) and fundus examinations were recorded before and after treatment, and complications were noted.

Results

The mean change in SE at the end of the follow-up period was 1.5 ± 1.44 diopters (D) and 3.02 ± 1.57D in the PSR and control groups respectively. These changes were equivalent to an increase in axial length of 1.27 ± 0.54 mm and 2.05 ± 0.91 mm respectively. The PSR group showed less myopic progression and less eye elongation (p < 0.001). A notable increase in UCVA was only found in the PSR group (p = 0.0001). The improvement in BCVA was significantly greater in the PSR group (p = 0.0354). There were no serious complications of PSR surgery.

Conclusion

The modified Snyder–Thompson PSR surgery was effective and safe in controlling extensive high myopia of Chinese children.

Keywords

High myopia Myopic progression Progressive myopia Axial length Spherical equivalent Visual acuity Scleral reinforcement 

Notes

Acknowledgments

This work was supported by Grant 81070750 from the National Natural Science Foundation of China.

Conflict of interest

No author has a proprietary or commercial interest in the materials or methods mentioned here.

References

  1. 1.
    Morgan IG, Ohno-Matsui K, Saw SM (2012) Myopia. Lancet 379:1739–1748PubMedCrossRefGoogle Scholar
  2. 2.
    Morgan I, Rose K (2005) How genetic is school myopia? Prog Retin Eye Res 24:1–38PubMedCrossRefGoogle Scholar
  3. 3.
    Pan CW, Ramamurthy D, Saw SM (2012) Worldwide prevalence and risk factors for myopia. Ophthalmic Physiol Opt 32:3–16PubMedCrossRefGoogle Scholar
  4. 4.
    Lin LL, Shih YF, Hsiao CK, Chen CJ (2004) Prevalence of myopia in Taiwanese schoolchildren: 1983 to 2000. Ann Acad Med Singap 33:27–33PubMedGoogle Scholar
  5. 5.
    Vitale S, Sperduto RD, Ferris FL 3rd (2009) Increased prevalence of myopia in the United States between 1971–1972 and 1999–2004. Arch Ophthalmol 127:1632–1639PubMedCrossRefGoogle Scholar
  6. 6.
    Wu HM, Seet B, Yap EP, Saw SM, Lim TH, Chia KS (2001) Does education explain ethnic diff erences in myopia prevalence? A population-based study of young adult males in Singapore. Optom Vis Sci 78:234–239PubMedCrossRefGoogle Scholar
  7. 7.
    He M, Zeng J, Liu Y, Xu J, Pokharel GP, Ellwein LB (2004) Refractive error and visual impairment in urban children in southern China. Invest Ophthalmol Vis Sci 45:793–799PubMedCrossRefGoogle Scholar
  8. 8.
    Wong TY, Foster PJ, Hee J, Ng TP, Tielsch JM, Chew SJ, Johnson GJ, Seah SK (2000) Prevalence and risk factors for refractive errors in adult Chinese in Singapore. Invest Ophthalmol Vis Sci 41:2486–2494PubMedGoogle Scholar
  9. 9.
    Cheng CY, Hsu WM, Liu JH, Tsai SY, Chou P (2003) Refractive errors in an elderly Chinese population in Taiwan: the Shihpai Eye Study. Invest Ophthalmol Vis Sci 44:4630–4638PubMedCrossRefGoogle Scholar
  10. 10.
    He M, Huang W, Li Y, Zheng Y, Yin Q, Foster PJ (2009) Refractive error and biometry in older Chinese adults: the Liwan eye study. Invest Ophthalmol Vis Sci 50:5130–5136PubMedCrossRefGoogle Scholar
  11. 11.
    Grosvenor T (2003) Why is there an epidemic of myopia ? Clin Exp Optom 86:273–275PubMedCrossRefGoogle Scholar
  12. 12.
    Saw SM, Gazzard G, Shih-Yen EC, Chua WH (2005) Myopia and associated pathological complications. Ophthalmic Physiol Opt 25:381–391PubMedCrossRefGoogle Scholar
  13. 13.
    Benjamin B, Davey JB, Sheridan M, Sorsby A, Tanner JM (1957) Emmetropia and its aberrations; a study in the correlation of the optical components of the eye. Spec Rep Ser Med Res Counc (GB) 11:1–69Google Scholar
  14. 14.
    Shevelev MM (1930) Operation against high myopia and scleralectasia with aid of the transplantation of fascia lata on thinned sclera. Russian Oftalmol J 11:107–110Google Scholar
  15. 15.
    Snyder AA, Thompson FB (1972) A simplified technique for surgical treatment of degenerative myopia. Am J Ophthalmol 74:273–277PubMedGoogle Scholar
  16. 16.
    Thompson FB (1978) A simplified scleral reinforcement technique. Am J Ophthalmol 86:782–790PubMedGoogle Scholar
  17. 17.
    Nesterov AP, Libenson NB, Svirin AV (1976) Early and late results of fascia lata transplantation in high myopia. Br J Ophthalmol 60:271–272PubMedCrossRefGoogle Scholar
  18. 18.
    Avetisov ES, Tarutta EP, Iomdina EN, Vinetskaya MI, Andreyeva LD (1997) Nonsurgical and surgical methods of sclera reinforcement in progressive myopia. Acta Ophthalmol Scand 75:618–623PubMedCrossRefGoogle Scholar
  19. 19.
    Gerinec A, Slezakova G (2001) Posterior scleroplasty in children with severe myopia. Bratisl Lek Listy 102:73–78PubMedGoogle Scholar
  20. 20.
    Ward B, Tarutta EP, Mayer MJ (2009) The efficacy and safety of posterior pole buckles in the control of progressive high myopia. Eye 23:2169–2174PubMedCrossRefGoogle Scholar
  21. 21.
    Nesterov AP, Libenson NB (1970) Strengthening the sclera with a strip of fascia lata in progressive myopia. Br J Ophthalmol 54:46–50PubMedCrossRefGoogle Scholar
  22. 22.
    Tarutta EP, Shamkhalova ES, Valsky VV (1989) An analysis of the late results of scleroplasty in progressive myopia. Oftalmol Zh 4:204–207PubMedGoogle Scholar
  23. 23.
    Thompson FB (1985) Scleral reinforcement for high myopia. Ophthalmic Surg 16:90–94PubMedGoogle Scholar
  24. 24.
    Curtin BJ, Whitmore WG (1987) Long-term results of scleral reinforcement surgery. Am J Ophthalmol 103:544–548PubMedGoogle Scholar
  25. 25.
    Hsiang HW, Ohno-Matsui K, Shimada N, Hayashi K, Moriyama M, Yoshida T, Tokoro T, Mochizuki M (2008) Clinical characteristics of posterior staphyloma in eyes with pathologic myopia. Am J Ophthalmol 146:102–110PubMedCrossRefGoogle Scholar
  26. 26.
    Cohen SY, Laroche A, Leguen Y, Soubrane G, Coscas GJ (1996) Etiology of choroidal neovascularization in young patients. Ophthalmology 103:1241–1244PubMedCrossRefGoogle Scholar
  27. 27.
    Gentle A, Liu Y, Martin JE, Conti GL, McBrien NA (2003) Collagen gene expression and the altered accumulation of scleral collagen during thedevelopment of high myopia. J Biol Chem 278:16587–16594PubMedCrossRefGoogle Scholar
  28. 28.
    Jacob JT, Gebhardt BM, Lewando J (1996) Synthetic scleral reinforcement materials II: collagen types in the fibrous capsule. J Biomed Mater Res 32:181–186PubMedCrossRefGoogle Scholar
  29. 29.
    Mateo C, Burés-Jelstrup A, Navarro R, Corcóstegui B (2012) Macular buckling for eyes with myopic foveoschisis secondary to posterior staphyloma. Retina 32:1121–1128PubMedCrossRefGoogle Scholar
  30. 30.
    Zhu Z, Ji X, Zhang J, Ke G (2009) Posterior scleral reinforcement in the treatment of macular retinoschisis in highly myopic patients. Clin Exp Ophthalmol 37:660–663CrossRefGoogle Scholar
  31. 31.
    Lam AKC, Chan R, Pang PCK (2001) The repeatability and accuracy of axial length and anterior chamber depth measurement from the IOL master. Ophthal Physiol Opt 21:477–482CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Minjie Chen
    • 1
    • 2
  • Jinhui Dai
    • 1
    • 2
    Email author
  • Renyuan Chu
    • 1
    • 2
  • Yifeng Qian
    • 1
    • 2
  1. 1.Department of OphthalmologyEYE and ENT Hospital of Fudan UniversityShanghaiChina
  2. 2.Key Laboratory of MyopiaMinistry of Health PR ChinaShanghaiChina

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