Abstract: At present, posterior scleral reinforcement is the only effective surgical method to delay axial growth. However, eyes with pathologic myopia have long axial length, thin sclera, and a complex intraocular environment. Besides, the range of the operation is widely and mainly focused on the posterior segment of the eyes. Serious complications may occur due to improper operation. Here, we discussed the indications, contraindications, anesthesia methods, surgical procedures, preoperative and postoperative management, complications, and corresponding approaches of single band posterior scleral reinforcement to establish the standard operative procedure and popularize it effectively. (Ophthalmol CHN, 2022, 31: 65-68)

Key words: posterior scleral reinforcement, pathologic myopia, indications, contraindications, complications, operative procedures