EC Ophthalmology

Research Article Volume 16 Issue 4 - 2025

A Combined Approach to Treating Progressive Myopia in Children

Ivanov SV1, Chaldyshev MV1, Balalin SV1,2* and Gorbenko VM1

1Volgograd Branch of the Federal State Autonomous Institution "National Medical Research Center "Intersectoral Scientific and Technical Complex "Eye Microsurgery" n. a. acad. S.N. Fyodorov" of the Ministry of Health, Volgograd, Russian Federation 2Volgograd State Medical University, Volgograd, Russian Federation

*Corresponding Author: Balalin SV, Volgograd Branch of the Federal State Autonomous Institution "National Medical Research Center "Intersectoral Scientific and Technical Complex "Eye Microsurgery" n. a. acad. S.N. Fyodorov" of the Ministry of Health, Volgograd, Russian Federation.
Received: October 27, 2025; Published: November 27, 2025



The results of treatment for 120 children (233 eyes) with progressive myopia were analyzed. In the control group, 72 children (137 eyes) underwent scleral buckle surgeries, while in the main group, 48 children (96 eyes) had scleral buckle surgeries and were fitted with orthokeratology lenses one month after the surgery. The average age of the patients was 13.4 ± 2.2 (from 9 to 17) years. Follow-up periods were at 1, 2 and 3 years. The best results on annual gradient of myopia progression decrease were registered after 3 years in the main group judging by the change of the anteroposterior eye size and the refractive index (p = 0.001). The use of scleroplasty and of orthokeratological lenses was the most effective tactic for the treatment of progressive myopia in children.

 Keywords: Myopia; Scleroplasty; Orthokeratological Correction; Annual Gradient of Myopia Progression

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Balalin SV., et al. “A Combined Approach to Treating Progressive Myopia in Children”. EC Ophthalmology  16.4 (2025): 01-05.