[Posterior scleral reinforcement surgery].
Scleral reinforcement is proposed to stabilize the visual acuity in patients with macular myopic staphyloma. Although many patients have been treated, this procedure is still debated.


OBJECTIVE
Evaluation of the feasibility of scleral reinforcement and the operative risk of this procedure.


METHODS
Patients were eligible for this prospective study patients with a clinical history of visual loss, staphyloma concerning the macular area associated with atrophic lesion and or lacquer cracks. Sixteen eyes in 13 successive patients have been operated on with a single band of PTFE.


RESULTS
At the last examination, visual acuity was unchanged for 14 cases. In one case, an improvement of the vision was related to the disappearing of a macular detachment by shortening of the axial length. In one case, vision decline was associated with inadequate band position. Diplopia occurred in 2 cases. A choroidal detachment, and a vitreous haemorrhage disappeared without sequelae.


CONCLUSIONS
An accurate technique is necessary to avoid operative risk. Further long term studies are needed to assess the benefit of scleral reinforcement.
Chauvaud
D
D
Service d'Ophtalmologie, Hôtel-Dieu, Paris.
Assouline
M
M
Perrenoud
F
F
D000328:Adult; D000368:Aged; D015862:Choroid Diseases / Q000209:etiology / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D012164:Retinal Diseases / Q000209:etiology / Q000601:surgery; D012307:Risk Factors; D012590:Sclera / Q000601:surgery*; D013997:Time Factors; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery; D014792:Visual Acuity
Chirurgie du renforcement scléral postérieur.