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小儿屈光手术技术

Techniques in pediatric refractive surgery.

作者信息

Ahmed Kamran

机构信息

Division of Ophthalmology, Phoenix Children's Hospital, Phoenix, AZ, United States.

出版信息

Saudi J Ophthalmol. 2023 Oct 24;38(3):214-220. doi: 10.4103/sjopt.sjopt_133_23. eCollection 2024 Jul-Sep.

DOI:10.4103/sjopt.sjopt_133_23
PMID:39465024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11503976/
Abstract

Pediatric refractive surgery treats refractive errors and their associated comorbidities such as amblyopia and strabismus in special needs children intolerant of spectacles or contact lenses. Children with neurobehavioral disorders undergoing refractive surgery have improvements in visual acuity, communication, socialization, motor skills, adaptive behaviors, visual perception, and cognitive function. Contrary to adults, amblyopia is frequently an indication for refractive surgery in special needs children. Pediatric refractive surgery techniques modify ametropia at the corneal, anterior chamber, posterior chamber, and lens planes. This article will discuss the most common modalities used today in pediatric refractive surgery, including laser keratorefractive surgery, phakic intraocular lenses, and refractive lens exchange. Practical pearls are discussed for the implementation of pediatric refractive surgery, reviewing preoperative diagnostics, surgical techniques, and postoperative care.

摘要

小儿屈光手术治疗特殊需求儿童的屈光不正及其相关合并症，如弱视和斜视，这些儿童不耐受眼镜或隐形眼镜。接受屈光手术的神经行为障碍儿童在视力、沟通、社交、运动技能、适应性行为、视觉感知和认知功能方面有所改善。与成人不同，弱视在特殊需求儿童中常常是屈光手术的指征。小儿屈光手术技术可在角膜、前房、后房和晶状体平面矫正屈光不正。本文将讨论当今小儿屈光手术中最常用的方式，包括激光角膜屈光手术、有晶状体眼人工晶状体和屈光性晶状体置换术。文中还讨论了小儿屈光手术实施过程中的实用技巧，回顾了术前诊断、手术技术和术后护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/c692aa71731c/SJO-38-214-g005.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/c692aa71731c/SJO-38-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/3d8bc50c3732/SJO-38-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/caa048afa4ae/SJO-38-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/9c03d2c29187/SJO-38-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/6e9fe0c71865/SJO-38-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e38b/11503976/c692aa71731c/SJO-38-214-g005.jpg

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本文引用的文献

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Prevalence of keratoconus in persons with Down syndrome: a review.唐氏综合征患者圆锥角膜的患病率：一项综述
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圆锥角膜与揉眼之间的相关性：综述
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Pediatric refractive surgery.小儿屈光手术
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