Combined approach to the treatment of anisometropic amblyopia in children (a clinical case)

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Abstract

A clinical case of patient K., 12 years old, with a diagnosis of anisometropia, anisometropic amblyopia, mixed astigmatism of the right eye, mild myopia, complex myopic astigmatism of the left eye is presented. Due to the intolerance of eyeglass and contact correction, the preservation of residual amblyopia against the background of regularly performed pleoptic treatment, the patient underwent laser refractive surgery of the amblyopic eye by Femto LASIK method in order to eliminate aniseikonia, which made it possible to successfully select glasses for permanent wearing with correction of the myopic eye and carry out further treatment in conditions of free haploscopy on a binarimeter with obtaining a high functional result. When observed in dynamics after 1 month and six months, the stability of anatomical and functional indicators was noted, which makes it possible to consider a highly effective combined approach in the treatment of anisometropic form of amblyopia in children. Keywords: amblyopia, children, anisometropia, FemtoLASIK, binarimetry
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综合方法治疗儿童屈光参差性弱视1例
患者K., 12岁,临床诊断为屈光参差、屈光参差弱视、右眼混合性散光、轻度近视、左眼复杂近视散光。由于配镜和接触矫正的不耐受,在定期进行视光治疗的背景下保留残余弱视,患者采用Femto LASIK方法对弱视进行激光屈光手术,以消除斜视。这使得成功选择永久佩戴的眼镜矫正近视成为可能,并在自由单倍镜条件下进行进一步治疗,并获得较高的功能效果。在1个月和6个月后的动态观察中,解剖和功能指标的稳定性被注意到,这使得考虑一种高效的联合方法治疗儿童屈光参差型弱视成为可能。关键词:弱视;儿童;屈光参差
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