October 15, 2008
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Posterior pole buckling reduces high axial myopia progression

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WAILEA, Hawaii — Posterior pole buckling can reduce the progression of high axial myopia, a physician said here.

At the American Society of Retina Specialists annual meeting, Brian Ward, MD, presented results of a 5-year retrospective study involving 59 adult eyes in which he and colleagues found posterior pole buckling to be safe for stabilizing axial myopia.

The procedure involves placing a 1-cm wide buckle of donor sclera over the posterior pole, where it is secured under tension to the anterior globe. Only one eye per person was buckled. Axial length and visual acuity measurements and OCT macular scans were collected retrospectively.

No difference in visual acuity change was noted between buckled eyes and fellow eyes, and in 10% of cases, visual acuity increased 3 months after buckling, Dr. Ward said.

"Axial extension was controlled in most eyes in 5 years of follow-up," he said. One case of myopic macular tension was documented.