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目的 :探讨用 L ASIK治疗小儿屈光参差性弱视的可能性。方法 :对 17例 4～ 12岁的屈光参差患儿进行 L ASIK手术治疗 ,术前屈光度从 +5 .5 0～ - 11.0 0 D不等 ,且两眼屈光参差超过 5 D。对屈光度较大的患眼施行手术。手术在表面麻醉或基础麻醉下施行 ,术后再进行弱视治疗。结果 :经术后 6～ 13个月随访 ,17眼裸眼视力均较术前提高 ,6眼裸眼视力超过术前矫正视力 ,7眼达术前矫正视力 ;12眼屈光度在± 1.0 0 D之间。结论 :对屈光参差性弱视小儿施行 L ASIK,可矫正屈光不正 ,提高视力 ,为弱视治疗提供保障。
Objective: To explore the possibility of using L ASIK to treat anisometropic amblyopia in children. Methods: Seventeen patients with refractive errors between 4 and 12 years old were treated with LASIK. The preoperative refraction ranged from +5. 05 to 11.0 0 D, and the anisometropia of both eyes exceeded 5. The greater diopter eyes surgery. Surgery under the surface anesthesia or basic anesthesia, surgery and then amblyopia. Results: After 6 to 13 months of follow-up, the uncorrected visual acuity of 17 eyes was significantly higher than that of preoperative. The uncorrected visual acuity of 6 eyes exceeded the preoperative corrected visual acuity (7 eyes) and preoperative corrected visual acuity (7 eyes). The refraction of 12 eyes was between ± 1.0 0 D . Conclusion: L ASIK in children with anisometropic amblyopia can correct refractive errors, improve visual acuity and provide protection for amblyopia treatment.