Alkharashi Maan, Alowairdhi Moath, Albdaya Norah, Alzabadin Rakan
Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts, USA.
Eur J Ophthalmol. 2025 May;35(3):799-808. doi: 10.1177/11206721241290261. Epub 2024 Oct 13.
Refractive surgery is one of the most commonly performed elective procedures in ophthalmology; it is mostly performed in patients who are older than 18 years of age. This routine procedure has been time-tested and is proven to be both safe and effective in adults. However, little is known about the safety and efficacy of refractive surgery in pediatric patients. Granted, refractive surgery should not be used in kids merely for the purpose of avoiding spectacles wear, but it can be of valuable help is preserving vision in patients with amblyopia and accommodative esotropia who otherwise couldn't comply with traditional management options. Refractive surgery in pediatric patients is a complex and challenging field due to the unique characteristics of their developing eyes. This review article aims to provide an overview of the current literature on refractive surgery in pediatric patients, focusing on the different surgical options, the advantages and disadvantages of each procedure.
屈光手术是眼科最常开展的择期手术之一；主要针对18岁以上患者进行。这种常规手术经过了时间检验，已证明对成年人安全有效。然而，对于小儿患者屈光手术的安全性和有效性知之甚少。诚然，屈光手术不应仅仅为了避免戴眼镜而用于儿童，但对于弱视和调节性内斜视患者，如果无法采用传统治疗方法，屈光手术在保留视力方面可能会有很大帮助。由于小儿发育中眼睛的独特特征，小儿患者的屈光手术是一个复杂且具有挑战性的领域。这篇综述文章旨在概述目前关于小儿患者屈光手术的文献，重点介绍不同的手术选择以及每种手术的优缺点。
