作者： Kim M,Fecarotta CM,Wasserman BN

　　出处：Current opinion in ophthalmology.2010-09;21(5):350-5.

　　文献类型：综述 PUBMED链接：PMID: 20601878

　　Abstract：PURPOSE OF REVIEW:To evaluate recent literature regarding indications and outcomes for ref... PURPOSE OF REVIEW:To evaluate recent literature regarding indications and outcomes for refractive surgery in children, including laser in-situ keratomileusis, laser epithelial keratomileusis, photorefractive keratectomy, and refractive intraocular lens placement.

　　RECENT FINDINGS:Refractive surgery in children is controversial. Recent publications have reported refractive surgery to treat strabismus and both ametropic and anisometropic amblyopia. Questions remain as to the age at which to perform the surgery, and which specific procedure to perform. Choice of technique depends on the clinical situation.

　　SUMMARY:Refractive surgery is an option for children with amblyopia and strabismus who fail treatment with spectacles or contact lenses. Prospective controlled studies are needed, and longer follow-up will answer questions about the utility and safety of refractive surgery in children.

　　中文摘要：

　　综述目的：评价近期文献报道的有关儿童屈光手术的指征和结果。这些屈光手术包括LASIK、LASEK、PRK和屈光性人工晶体植入术等。

　　近期发现：儿童屈光手术倍受争议。近期的文献报道了屈光手术应用于斜视、屈光不正性弱视和屈光参差性弱视。存在的问题仍在于手术的年龄和实施何种术式，术式选择取决于临床的情况。

　　总结：不能接受眼镜或者接触镜治疗的弱视儿童，儿童屈光手术是一种可供选择的方法。儿童屈光手术的作用与安全性，需要进行前瞻性、对照的较长期随访研究。 翻译者:明亮的大眼睛

　　主题词：Adolescent; Amblyopia; Anisometropia; Child; Humans; Keratectomy, Subepithelial, Laser-Assisted; Keratomileusis, Laser In Situ; Lens Implantation, Intraocular; Photorefractive Keratectomy; Refractive Surgical Procedures; Strabismus;