[YAG laser reconstructive surgery of the anterior eye in children: results, indications, and optimal time].
By analyzing the anatomic-reconstructive, optic, and functional results of 1526 YAG laser operations made by the author in children aged 2 months to 17 years who had congenital (65.99%), posttraumatic (23.53%), and postuveal (10.48%) abnormalities of the anterior eye, the author has developed indications and contraindications and determined the optimum time of reconstructive laser interventions in papillary membranes; anterior and posterior fusions; internal fistular atresia after trabeculectomy, in umbrella iris, deformity, dislocation, atresia of the pupil; in anterior chamber cysts, cataracts, and ectopic lens. The high efficiency (93.93%) and rather low traumatism show it expedient to extensively introduce laser reconstructive surgery into pediatric ophthalmological care as a worthy alternative to instrumental surgery, which yields a reconstructive effect without eye incision, in a large proportion (46.4%) of the children who have refused anesthesia essential for microsurgery.
Arestova
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D000293:Adolescent; D000869:Anterior Eye Segment / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005128:Eye Diseases / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D053685:Laser Therapy / Q000295:instrumentation*; D053844:Lasers, Solid-State; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome