Paysse Evelyn A, Hussein Mohamed A W, Koch Douglas D, Wang Li, Brady McCreery Kathryn M, Glass Nancy L, Hamill M Bowes
Cullen Eye Institute, Department of Ophthalmology, Texas Children's Hospital, Houston, Texas 77030, USA.
J Cataract Refract Surg. 2003 Sep;29(9):1744-7. doi: 10.1016/s0886-3350(03)00592-3.
To describe a protocol for treating children with photorefractive keratectomy (PRK) under general anesthesia and to review intraoperative and postoperative complications.
Institutional academic practice.
Nine patients between 3 years and 9 years of age were treated with PRK under general anesthesia for anisometropia with unilateral high myopia or high hyperopia and amblyopia of the affected eye. Induction of anesthesia and the surgical procedure were carried out in separate rooms. The laser beam was centered on the entrance pupil, and eye position was monitored throughout the procedure. Specific precautions were taken before and during the procedure to prevent unwanted effects of inhalational anesthetic agents on laser performance.
All children did well, with no anesthesia-related or treatment-related complications.
Our protocol for PRK under general anesthesia was effective and efficient in children who were unable to cooperate for the procedure using local anesthesia. It can be adapted for laser in situ keratomileusis and other refractive surgical procedures in children and uncooperative adults.
描述在全身麻醉下对儿童进行准分子激光角膜切削术（PRK）的方案，并回顾术中及术后并发症。
学术机构。
9例3至9岁的患儿因屈光参差伴单眼高度近视或高度远视及患眼弱视，在全身麻醉下接受PRK治疗。麻醉诱导和手术操作在不同房间进行。激光束对准入瞳，整个手术过程中监测眼位。在手术前和手术过程中采取了特定预防措施，以防止吸入性麻醉剂对激光性能产生不良影响。
所有患儿情况良好，无麻醉相关或治疗相关并发症。
我们的全身麻醉下PRK方案对于无法配合局部麻醉手术的儿童有效且高效。它可适用于儿童及不合作成人的准分子原位角膜磨镶术及其他屈光手术。
