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Long-term Effect of Scleral Encircling on Axial Elongation

 Dong Hyun Lee  ;  Jong Wook Han  ;  Sung Soo Kim  ;  Suk Ho Byeon  ;  Hyoung Jun Koh  ;  Sung Chul Lee  ;  Min Kim 
 American Journal of Ophthalmology, Vol.189 : 139-145, 2018 
Journal Title
 American Journal of Ophthalmology 
Issue Date
PURPOSE: To determine the long-term effect of scleral encircling on the progression of myopia. DESIGN: Retrospective clinical cohort study. METHODS: Setting: Single-center academic hospital (Severance Hospital). STUDY POPULATION: The study included 76 eyes of 38 patients (mean age 37.21 ± 15.76) who had undergone retinal detachment surgery with scleral encircling. Observational Procedures: Axial length was measured preoperatively, at 6 months after surgery, and at the most recent visit. Patients were followed up for at least 12 months. MAIN OUTCOME MEASURE: The changes of axial length per month between operated eyes and contralateral eyes (control group). RESULTS: The operated group showed more rapid changes in axial length from 6 months after surgery to the time of the last follow-up than did the control group (0.020 ± 0.033 mm/month vs 0.002 ± 0.002 mm/month, P = .002; mean follow-up, 26.05 ± 11.39 months). Similar trends were observed during the entire follow-up period (0.065 ± 0.062 mm/month vs 0.008 ± 0.020 mm/month, P < .001). Subgroup analysis showed that both the myopic and highly myopic group showed no significant difference of change in rate of axial length during the first 6 postoperative months (P = .267), from 6 months after surgery to the final assessment point (P = .144), or over the entire observation period (P = .507). CONCLUSIONS: Encircling the sclera may accelerate progression of myopia by significantly increasing axial length. The degree of myopia itself does not contribute to a significant difference in the increased axial length.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
고형준(Koh, Hyoung Jun) ORCID logo https://orcid.org/0000-0002-5932-8516
김민(Kim, Min) ORCID logo https://orcid.org/0000-0003-1873-6959
김성수(Kim, Sung Soo) ORCID logo https://orcid.org/0000-0002-0574-7993
변석호(Byeon, Suk Ho) ORCID logo https://orcid.org/0000-0001-8101-0830
서경률(Seo, Kyuong Yul) ORCID logo https://orcid.org/0000-0002-9855-1980
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