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

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11 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)139-145
Number of pages7
JournalAmerican Journal of Ophthalmology
Publication statusPublished - 2018 May

Bibliographical note

Funding Information:
Funding/Support: This study was supported by Yonsei University Faculty Research Grant 6-2017-0149. Financial Disclosures: Min Kim: Consultant for Bayer (Bayer HealthCare, Berlin, Germany), Novartis (Novartis, Duluth, Georgia, USA), Allergan (Allergan, Irvine, California, USA), Santen (Santen Pharmaceuticals, Osaka-shi, Japan), Ophtec (Ophtec BV, Groningen, The Netherlands), and Taejoon (Taejoon Pharm, Seoul, South Korea). The following authors have no financial disclosures: Dong Hyun Lee, Jong Wook Han, Sung Soo Kim, Suk Ho Byeon, Hyoung Jun Koh, and Sung Chul Lee. All authors attest that they meet the current ICMJE criteria for authorship.

Publisher Copyright:
© 2018 Elsevier Inc.

All Science Journal Classification (ASJC) codes

  • Ophthalmology


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