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Scleral buckling in children may impede ocular growth

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Scleral buckling resulted in significantly less myopia in the eyes of younger patients as compared to fellow untreated eyes, according to a study. This suggests that scleral buckling may impede ocular growth, the study authors said.

Tomoki Sato, MD, and colleagues at Ideta (Japan) Eye Hospital treated 35 eyes of 35 patients ranging in age from 7 to 15 years using a silicone implant scleral buckling procedure. Postoperative refractive change in the treated vs. fellow eyes was analyzed.

Mean refractive change in the treated eyes at 1 to 4 years postop was –0.6 D; the mean refractive change in the fellow eye was –1.3 D. Treated eyes became less myopic than fellow eyes, especially in patients younger than 10 years, or when the buckling extended beyond two quadrants, the authors found.

The study is published in Retina.