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Titre

Macular scleral band for degenerative high myopia: overview of the surgical technique and short term results

But	To describe the used surgical technique and short term results of the macular buckling procedure in degenerative myopia.
Méthodes	Between 30/3/2012 and 7/9/2012, a posterior scleral reinforcement was performed in our center on 7 high myopic eyes (ranging from 28.19 to 38.46 mm). A scleral band of 1 cm wide and up to 8 cm long was prepared from an autologous donor eye and fixated to the sclera nasally from the superior rectus muscle insertion. After passing the band under the superior rectus muscle and the lateral rectus muscle, behind the insertion of the inferior oblique and between the inferior rectus muscle and the globe, the free end was secured to the sclera in the inferonasal quadrant, whereby the band was placed over the macular area. To minimize post-operative swelling and complications, oral NSAIDS, diuretics and steroid drugs were administered. The axial length of the eyeball was measured by A-scan ultrasonography or IOL-master before and after treatment, and ultrasound was performed post-operatively.
Résultats	The used technique was effective to place the sclera band in the required macular position. As expected, the post-operative axial length was shortened by a variable extent. Temporary postoperative complications included choroidal effusion, limited motility and intra-ocular pressure elevation. Except for one eye, with a complex history, there were no unexpected per- or post-operative complications.
Conclusion	The used macular buckling technique was effective to place the donor sclera band in the required macular position with post-operative shortening of the axial length.

Auteur 1

Nom	VANDENBROUCKE
Initiales	S
Institut	University Hospital of Leuven
Ville	Leuven

Auteur 2

Nom	Breemersch
Initiales	M
Institut	University Hospital of Leuven
Ville	Leuven

Auteur 3

Nom	Ward
Initiales	B
Institut	Retinal Diagnostic Center
Ville	Campbell, USA

Auteur 4

Nom	Stalmans
Initiales	P
Institut	University Hospital of Leuven
Ville	Leuven