高度近视特殊需求儿童的屈光手术
Refractive Surgery for Special-Needs Children with High Myopia.
机构信息
Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri.
出版信息
Mo Med. 2022 Jan-Feb;119(1):60-64.
Abstract
Refractive surgery is useful in children with high isoametropic or anisometropic myopia who are aversive to spectacles or contact lenses. The majority have a neurodevelopmental disorder and the equivalent of legal blindness before surgery. Correction of myopia < 6 Diopters (D) is achieved by photorefractive keratectomy (PRK). Those with myopia > 6 D benefit from phakic IOL implantation, clear lens extraction (CLE), or refractive lens exchange (RLE). The rate of adverse events is low.
摘要
屈光手术适用于畏戴眼镜或接触镜的高度屈光不正或屈光参差的儿童。大多数儿童存在神经发育障碍，术前视力相当于法定盲。近视<6 屈光度（D）可通过光折射性角膜切削术（PRK）矫正。近视>6 D 者可从有晶状体眼人工晶状体植入术、透明晶状体摘除术（CLE）或折射性晶状体置换术（RLE）中获益。不良事件发生率低。
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