Sheludchenko V M, Rybintseva L V, Kurenkov V V
Vestn Oftalmol. 2002 Jul-Aug;118(4):18-22.
A total of 151 photorefraction operations for correction of medium and high astigmatism in 38 children (9-15 years) and 47 adolescents (16-17 years) carried out by LASIK method are analyzed. The operations were performed under local anesthesia with EC-5000 eximer laser (Nidek) and Hansatome microkeratome (B & L). Complicated and common myopic astigmatism (2.07 +/- 0.89 to 2.91 +/- 0.63 diopters) was decreased by 61.2% in children and by 62.2% in adolescents. Visual acuity without correction increased by 0.58 +/- 01.2. Correction of astigmatic anisometropia resulted in its decrease to 0.75-1.5 diopters in 77.9% children and 62.8% adolescents. Hypermetropic astigmatism decreased by 64.9% of its initial value in children and by 56.9% in adolescents. Mixed astigmatism decreased by 62.7% of its initial value. The resultant visual acuity without correction was 0.39 +/- 0.13 in children and 0.47 +/- 0.17 in adolescents. According to questionnaires distributed among parents, 13.5% patients studied better at school after the operation and 19.2% went in for sports in athletic sections. The main causes for the intervention were limitations in choice of profession (for 49.6%) and desire to practice modern athletics (in 13.8%). Photorefraction correction of astigmatism in children and adolescents brings about an effective stable result decreasing refraction amblyopia and improving the quality of life.
分析了采用准分子激光原位角膜磨镶术（LASIK）对38名儿童（9至15岁）和47名青少年（16至17岁）进行的总共151次屈光性手术，以矫正中度和高度散光。手术在局部麻醉下使用EC - 5000准分子激光（尼德克）和汉森自动角膜板层刀（博士伦）进行。儿童复杂和常见的近视散光（2.07±0.89至2.91±0.63屈光度）降低了61.2%，青少年降低了62.2%。未矫正视力提高了0.58±0.12。散光性屈光参差矫正后，77.9%的儿童和62.8%的青少年其散光降低至0.75 - 1.5屈光度。儿童远视散光降低了初始值的64.9%，青少年降低了56.9%。混合性散光降低了初始值的62.7%。儿童未矫正的最终视力为0.39±0.13，青少年为0.47±0.17。根据向家长发放的问卷，13.5%的患者术后在学校学习成绩更好，19.2%的患者参加了体育俱乐部的运动。干预的主要原因是职业选择受限（49.6%）和希望从事现代体育运动（13.8%）。儿童和青少年散光的屈光矫正带来了有效且稳定的结果，减少了屈光性弱视并改善了生活质量。
