CAJ | 학술논문

目的探讨准分子激光原位角膜磨镶术( LASIK)矫治青少年重度远视屈光参差性弱视的效果与安全性。方法 56例(56眼)平均矫正视力为0.38±0.09的9～17岁远视屈光参差性弱视纳入观察,常规行围手术期检查。术后进行双眼训练和弱视治疗。结果术后3个月弱视眼平均裸眼视力由术前的0.07±0.03提高到0.65 ±0.15;术后6个月平均裸眼视力为0.68±0.14。术后矫正视力较术前明显提高;术后屈光度较术前明显降低(P＜0.05);52例(92.86％)同时视和融合功能改善,其中36例(64.29％)建立完整立体视功能。结论青少年远视屈光参差性弱视的LASIK安全有效,有助于改善双眼单视功能。
목적 탐토준분자격광원위각막마양술( LASIK)교치청소년중도원시굴광삼차성약시적효과여안전성。방법 56례(56안)평균교정시력위0.38±0.09적9～17세원시굴광삼차성약시납입관찰,상규행위수술기검사。술후진행쌍안훈련화약시치료。결과 술후3개월약시안평균라안시력유술전적0.07±0.03제고도0.65 ±0.15;술후6개월평균라안시력위0.68±0.14。술후교정시력교술전명현제고;술후굴광도교술전명현강저(P＜0.05);52례(92.86％)동시시화융합공능개선,기중36례(64.29％)건립완정입체시공능。결론 청소년원시굴광삼차성약시적LASIK안전유효,유조우개선쌍안단시공능。
Objective To investigate efficacy and safety of LASIK for hyperopic anisometropic amblyopia in adolescent. Methods 56 Cases (9 - 17 years old) of hyperopic anisometropic amblyopia were involved in the clinical study. The mean corrected visual acuity was 0. 38 ± 0. 09 ; routine perioperative examination was performed. All the patients were accepted birocular vision training and treatment of amblyopia. Results The poatoperative uncorrected visual acuity in 3 months was 0. 65 ± 0. 15 compared 0. 07 ±0.03 preoperatively,and was 0. 68 ±0. 14 in 6 months postoperatively. Postoperative refractionsignificantly decreased ( P ＜0.05 ). 52 patients improved binocular vision, and 36 patients establish complete stereopsis. Conclusion LASIK for hyperopic anisometropic amblyopia is safe and effective in adolescent. It could improve binocular vision.