调节性内斜视的屈光手术：5 年随访。

Refractive surgery for accommodative esotropia: 5-year follow-up.

出版信息

J Refract Surg. 2014 Feb;30(2):116-20. doi: 10.3928/1081597X-20140120-07.

DOI:10.3928/1081597X-20140120-07

Abstract

PURPOSE

To assess the long-term effectiveness and safety of refractive surgery with LASIK or photorefractive keratectomy (PRK) for treating accommodative esotropia in adults.

METHODS

All patients with accommodative esotropia treated with LASIK or PRK until December 2007 and with a minimum follow-up of 5 years were retrospectively included.

RESULTS

LASIK was performed on 44 eyes of 22 patients (12 women, 10 men; mean age: 22.7 ± 2.9 years). Mean postoperative follow-up was 62.1 ± 3.2 months. PRK was performed on 16 eyes of 8 patients (4 women, 4 men; mean age: 23.7 ± 1.7 years). Mean postoperative follow-up was 61.3 ± 2.8 months. At the 5-year follow-up, the mean cycloplegic refraction was more hyperopic in the PRK group (0.3 ± 0.8 vs 0.06 ± 0.3 diopters, P = .01). Correction of esotropia to esophoria or orthotropia was present in 21 patients (95.4%) treated with LASIK and in all patients treated with PRK.

CONCLUSIONS

Both LASIK and PRK were effective in the long-term reduction of accommodative esotropia.

摘要

目的

评估 LASIK 或光折射性角膜切削术（PRK）治疗成人调节性内斜视的长期疗效和安全性。

方法

回顾性纳入 2007 年 12 月前接受 LASIK 或 PRK 治疗的所有调节性内斜视患者，随访时间至少 5 年。

结果

22 例患者（12 名女性，10 名男性；平均年龄：22.7 ± 2.9 岁）的 44 只眼接受了 LASIK 治疗。平均术后随访 62.1 ± 3.2 个月。8 例患者（4 名女性，4 名男性；平均年龄：23.7 ± 1.7 岁）的 16 只眼接受了 PRK 治疗。平均术后随访 61.3 ± 2.8 个月。在 5 年随访时，PRK 组的平均睫状肌麻痹下屈光度更远视（0.3 ± 0.8 vs 0.06 ± 0.3 屈光度，P =.01）。21 例（95.4%）接受 LASIK 治疗的患者和所有接受 PRK 治疗的患者的斜视矫正为内隐斜或正位。