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儿童严重屈光参差患者的弱视发生率高达66.67%,其中28.30%患儿终致视力残疾。近十年准分子激光手术矫治儿童严重屈光参差的研究表明,该手术是安全、有效的,可预测性及稳定性均较好,为儿童屈光参差性弱视治疗提供了一个良好的条件。术后进行规范的弱视治疗,提高了治愈率,降低了致残率。然而,儿童屈光手术矫治起始年龄、等值球镜的矫治范围、术后角膜剩余厚度等有待规范。术后儿童角膜修复机制的研究有待深入。
Children with severe anisometropia in patients with amblyopia incidence as high as 66.67%, of which 28.30% of children eventually cause visual impairment. In recent ten years, excimer laser surgery for children with severe anisometropia study showed that the surgery is safe and effective, predictability and stability are good, for children with anisometropic amblyopia treatment provides a good condition. Postoperative standard of amblyopia treatment, improve the cure rate and reduce the disability rate. However, the starting age of correction of refractive surgery in children, the scope of equivalent spherical correction, postoperative corneal thickness remaining to be standardized. Postoperative children’s corneal repair mechanism needs further study.