目的:探讨采用饼式后巩膜加固术对高度近视治疗的安全性和有效性。方法:采用饼式后巩膜加固术,对20例39眼高度近视患者进行手术治疗,随访1～3a。结果:患者术后眼轴无进行性延长,与术前比较差异无显著性;近视屈光度术后与术前比较,差异也无显著性;矫正视力术后均有不同程度的提高。结论:采用饼式后巩膜加固术并发症少,可稳定眼轴,稳定和改善视力,是一种安全有效的预防和治疗高度近视的方法。

AIM:To investigate the safety and efficacy of the cake-type posterior scleral reinforcement surgery for the treatment of high myopia.METHODS:Cake-type posterior scleral reinforcement surgery was performed in 20 cases (39 eyes) with high myopia,and the follow-up lasted for 3 years.RESULTS:There was no progressive extension of the eye axis in patients of postoperation compared to the preoperative.The diopter of myopia compared with the preoperative,the difference also was not significant.In addition,corrected visual acuities of the patients were improved at varying degrees.CONCLUSION:The cake-type posterior scleral reinforcement surgery has few complications.It can stabilize axial length,stabilize and improve vision.It has been proved to be a safe and effective way to prevent and treat high myopia.

R779.6