Objective evaluation of the effect of posterior scleral reinforcement surgery on the prevention and control of high myopia_Chinese Journal of Ocular Fundus Diseases

Authors：

 Tang Shibo ^1,2 , Xiao Ying ³

1. Guangzhou Aier Eye Hospital Affiliated to Jinan University, Guangzhou 510632, China;
2. Changsha Aier Eye Hospital, Aier Eye Institute, Changsha 410035, China;
3. Department of Ophthalmology, Shandong Provincial Hospital Affiliated to the First Medical University of Shandong Province, Jinan 250021, China;

Corresponding author：

Tang Shibo, Email: tangshibo@vip.163.com

Keywords：

Myopia, degenerative; Posterior scleral reinforcement; Prevention and control; Editorial

DOI：

10.3760/cma.j.cn511434-20230609-00256

Video：

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Due to the high incidence and the earlier onset age, high myopia has become an important public health problem in China. Posterior scleral reinforcement surgery has been developed for over 60 years in order to control the rapid progression and complications of high myopia. By suturing a certain size of material on the surface of the posterior eyeball, thickness and elasticity modulus of the local sclera significantly increase. As the result, the rapid growth of the axial length and the chorioretinopathy could be alleviated. At present, controversies about its clinical efficacy and safety still exist, so posterior scleral reinforcement surgery has not been widely carried out all over the world. An in-depth analysis of the mechanism, surgical manipulations and materials, the clinical application status of posterior scleral reinforcement surgery on control of high myopia can provide a basis for further standardized application of this surgery

Citation： Tang Shibo, Xiao Ying. Objective evaluation of the effect of posterior scleral reinforcement surgery on the prevention and control of high myopia. Chinese Journal of Ocular Fundus Diseases, 2023, 39(8): 626-634. doi: 10.3760/cma.j.cn511434-20230609-00256 Copy

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1. Borley WE, Snyder AA. Surgical treatment of high myopia; the combined lamellar scleral resection with scleral reinforcement using donor eye[J]. Trans Am Acad Ophthalmol Otolaryngol, 1958, 62(6): 791-801.
2. Maruko I, Iida T, Sugano Y, et al. Morphologic analysis in pathologic myopia using high-penetration optical coherence tomography[J]. Invest Ophthalmol Vis Sci, 2012, 53(7): 3834-3838. DOI: 10.1167/iovs.12-9811.
3. Hayashi M, Ito Y, Takahashi A, et al. Scleral thickness in highly myopic eyes measured by enhanced depth imaging optical coherence tomography[J]. Eye (Lond), 2013, 27(3): 410-417. DOI: 10.1038/eye.2012.289.
4. Zhou LX, Shao L, Xu L, et al. The relationship between scleral staphyloma and choroidal thinning in highly myopic eyes: The Beijing Eye Study[J/OL]. Sci Rep, 2017, 7(1): 9825[2017-08-29]. https://pubmed.ncbi.nlm.nih.gov/28852194/. DOI: 10.1038/s41598-017-10660-z.
5. Park UC, Lee EK, Kim BH, et al. Decreased choroidal and scleral thicknesses in highly myopic eyes with posterior staphyloma[J/OL]. Sci Rep, 2021, 11(1): 7987[2021-04-12]. https://pubmed.ncbi.nlm.nih.gov/33846467/. DOI: 10.1038/s41598-021-87065-6.
6. Jonas JB, Ohno-Matsui K, Holbach L, et al. Histology of myopic posterior scleral staphylomas[J/OL]. Acta Ophthalmol, 2020, 98(7): e856-e863[2020-03-19]. https://pubmed.ncbi.nlm.nih.gov/32190987/. DOI: 10.1111/aos.14405.
7. Weiyi C, Wang X, Wang C, et al. An experimental study on collagen content and biomechanical properties of sclera after posterior sclera reinforcement[J]. Clin Biomech (Bristol, Avon), 2008, 23: S17-20. DOI: 10.1016/j.clinbiomech.2007.10.013.
8. Zhang Z, Qi Y, Wei W, et al. Investigation of macular choroidal thickness and blood flow change by optical coherence tomography angiography after posterior scleral reinforcement[J/OL]. Front Med (Lausanne), 2021, 8: 8658259[2021-04-29]. https://pubmed.ncbi.nlm.nih.gov/34017847/. DOI: 10.3389/fmed.2021.658259.
9. Mo J, Duan AL, Chan SY, et al. Application of optical coherence tomography angiography in assessment of posterior scleral reinforcement for pathologic myopia[J]. Int J Ophthalmol, 2016, 9(12): 1761-1765. DOI: 10.18240/ijo.2016.12.10.
10. 欧阳朝祜, 褚仁远, 赵梅, 等. 牛心包补片应用于后巩膜加固术的早期安全性与生物相容性[J]. 中华眼视光学与视觉科学杂志, 2016, 18(5): 259-263. DOI: 10.3760/cma.j.issn.1674-845X.2016.05.002.Ouyang CH, Chu RY, Zhao M, et al. Early safety and biological compatibility of a bovine pericardium patch for posterior scleral reinforcement[J]. Chin J Optom Ophthalmol Vis Sci, 2016, 18(5): 259-263. DOI: 10.3760/cma.j.issn.1674-845X.2016.05.002.
11. Wong FF, Lari DR, Schultz DS, et al. Whole globe inflation testing of exogenously crosslinked sclera using genipin and methylglyoxal[J]. Exp Eye Res, 2012, 103: 17-21. DOI: 10.1016/j.exer.2012.06.010.
12. Ma J, Wu F, Liu Z, et al. Biomechanical considerations of patching material for posterior scleral reinforcement surgery[J/OL]. Front Med (Lausanne), 2022, 9: 9888542[2022-05-16]. https://pubmed.ncbi.nlm.nih.gov/35652073/. DOI: 10.3389/fmed.2022.888542.
13. Jacob-LaBarre JT, Assouline M, Byrd T, et al. Synthetic scleral reinforcement materials: I. development and in vivo tissue biocompatibility response[J]. J Biomed Mater Res, 1994, 28(6): 699-712. DOI: 10.1002/jbm.820280607.
14. Jacob JT, Lin JJ, Mikal SP. Synthetic scleral reinforcement materials. III. Changes in surface and bulk physical properties[J]. J Biomed Mater Res, 1997, 37(4): 525-533. DOI: 10.1002/(sici)1097-4636(19971215)37:4<525::aid-jbm11>3.0.co;2-7.
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