Adults, Axial Elongation, High Myopia, Myopia Progression, Posterior Scleral Reinforcement
Conditions
Brief summary
This study will evaluate the efficacy and safety of posterior scleral reinforcement on controlling myopia progression, including change in refraction, axial elongation as well as sight-threatening complications, in adults with high myopia. Half the adults will receive posterior scleral reinforcement, while the other half will receive no surgerical treatment.
Interventions
Posterior scleral reinforcement (pPSR) is a procedure applied with autologous or biological material or synthetic materials reinforcing pole of the sclera after eyeball, in order to prevent or alleviate myopic development.
Sponsors
Study design
Eligibility
Inclusion criteria
* Cycloplegic spherical equivalent less than -6.0 D * Myopia progression greater than 1.0 D per year * Normal IOP, no strabismus or any other ocular pathological changes * no any other ocular or systematic diseases that may affect refractive development
Exclusion criteria
* Currently or history using other interventions to control myopia progression (acupuncture, drugs, contact lens, ear needles and so on) * Unable to cooperate with the ocular examination,questionnaire survey,or orthokeratology wearing
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cycloplegic autorefraction | 2 years | Level of myopia and myopia progression as assessed by autorefraction |
| Axial length | 2 years | Longth of the eyeball as assessed by IOL Master or Lenstar |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with treatment-related adverse events | 2 years | Bleeding, inflammation or retinal detachment as assessed by B scan, slitlamp, etc. |
| Visual acuity | 2 years | An index for visual function measured by visual acuity chart |