青少年远视屈光参差性弱视LASIK效果观察

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。

Cliuical effecfive of LASIK for hyperopic ~anisometropia in adoleacent

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.