Sun Emily, Kraus Courtney L
Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Saudi J Ophthalmol. 2023 Jul 24;38(3):195-200. doi: 10.4103/sjopt.sjopt_72_23. eCollection 2024 Jul-Sep.
Treatment of amblyopia typically involves spectacles or penalization of the nonamblyopic eye with occlusive patching or pharmacological penalization. However, these methods can be ineffective or difficult in certain children who may be unable to tolerate or are poorly compliant with such therapies. Untreated high refractive error can result in dense amblyopia, and thus, other treatment methods are necessary in this subset of children. With technological advances in ocular surgery, clear lens extraction (CLE) and refractive lens exchange (RLE) have emerged as popular alternative treatments for amblyopia, as they may avoid some of the challenges surrounding traditional methods. CLE involves lensectomy for refractive purposes in patients without cataracts, while RLE involves lensectomy followed by intraocular lens implantation. The purpose of this review was to summarize the use of CLE and RLE for the treatment of amblyopia in the pediatric population, discussing indications, techniques, treatment outcomes, safety, and potential complications.
弱视的治疗通常包括佩戴眼镜，或者通过遮盖健眼或药物压抑疗法来抑制非弱视眼。然而，对于某些无法耐受或依从性差的儿童，这些方法可能无效或难以实施。未经治疗的高度屈光不正可导致严重弱视，因此，对于这部分儿童需要其他治疗方法。随着眼科手术技术的进步，透明晶状体摘除术（CLE）和屈光性晶状体置换术（RLE）已成为治疗弱视的常用替代方法，因为它们可能避免传统方法所面临的一些挑战。CLE是指在无白内障患者中为矫正屈光不正而进行的晶状体切除术，而RLE是指晶状体切除术后植入人工晶状体。本综述的目的是总结CLE和RLE在儿科人群中治疗弱视的应用，讨论适应证、技术、治疗效果、安全性和潜在并发症。
