Analysis of the effectiveness of scleroplastic surgery and orthokeratological correction in children with progressive myopia

Purpose. To analyze the effectiveness of combined treatment of progressive myopia before and after scleroplastic surgery and the use of orthokeratological contact correction in children. Material and methods. A comparative analysis of the clinical and functional results of treatment of progressive myopia was carried out in 92 children (178 eyes): the first group (control) – 66 children (127 eyes) before and after sleroplastic operations and the second group (main) – 26 children (51 eyes) before and after scleroplastic surgery and the use of orthokeratological contact lenses (OKL). The average age of the patients was 13.6 ± 2.1 (from 9 to 17) years. Follow-up periods are in 1, 2 and 3 years. All patients underwent optical biometry on the OA-2000 device (TOMEY Corporation, Japan), as well as refractometry on the RK-F1 device (Canon, Japan). Results.The annual progression gradient of myopia according to optical biometrics (∆PZO) was 0.26 ± 0.22 mm in the control group after 1 year, 0.22 ± 0.24 mm after 2 years, 0.3 ± 0.53 mm after 3 years, and in the main group 0.22 ± 0.21 mm, 0.23 ± 0.26 mm and 0.09 ± 0.08 mm, respectively. The best results in reducing the annual gradient of myopia progression were observed after 3 years in patients of the main group according to ∆FRA (p = 0.013) and by changing the refractive index ∆ Rf (p = 0.011). Conclusion.The use of scleroplasty and OCD correction was the most effective tactic for the treatment of progressive myopia in children.