Posterior Scleral Reinforcement

A selective surgery that may be considered in a small subset of specialist-evaluated progressive high-myopia patients to slow axial elongation.

Posterior scleral reinforcement involves fixing biological material (donor sclera, fascia lata, or synthetic material) to the external surface of the posterior sclera in an attempt to slow axial elongation. It is mainly discussed for a small subset of progressive pathological myopia patients, especially adolescents with rapidly increasing axial length. The procedure cannot reverse existing fundus pathology, and current studies suggest possible benefit in slowing progression in some patients, but evidence quality, long-term safety, and ideal indications still require cautious specialist appraisal. It is therefore better regarded as a selective option rather than routine standard treatment.