Paysse Evelyn A, Tychsen Lawrence, Stahl Erin
Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.
J AAPOS. 2012 Jun;16(3):291-7. doi: 10.1016/j.jaapos.2012.01.012.
Refractive surgery has now been used successfully to treat severe anisometropia and isoametropia associated with amblyopia in children who cannot wear standard spectacles or contact lenses. Extraocular techniques include photorefractive keratectomy, laser-assisted subepithelial keratomileusis, and laser-assisted in situ keratomileusis. Intraocular techniques include refractive lensectomy and phakic intraocular lenses and are still being investigated in children for refractive errors outside the treatment dose capabilities of the excimer laser. This workshop discusses the various techniques, how and when to use each, and their risks and benefits. Newer techniques currently being used in adults that may someday be used in children are also introduced.
屈光手术现已成功用于治疗患有弱视且无法佩戴标准眼镜或隐形眼镜的儿童的严重屈光参差和等屈光不正。眼外技术包括光折射角膜切除术、准分子激光上皮下角膜磨镶术和准分子原位角膜磨镶术。眼内技术包括晶状体切除术和有晶状体眼人工晶状体,目前仍在儿童中研究用于准分子激光治疗剂量能力以外的屈光不正。本次研讨会讨论了各种技术、如何以及何时使用每种技术及其风险和益处。还介绍了目前在成人中使用的、未来某天可能用于儿童的更新技术。