Effectiveness of Laser Refractive Surgery to Address Anisometropic Amblyogenic Refractive Error in Children

Cavuoto, Kara M.; Chang, Melinda Y.; Heidary, Gena; Morrison, David G.; Trivedi, Rupal H.; Binenbaum, Gil; Kim, Stephen J.; Pineles, Stacy L.

doi:10.1016/j.ophtha.2022.06.022

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…It causes attention deficits among sick children [6] , affecting their physical and mental health. Presently, in addition to traditional drug, covering, and glasses therapies and surgical treatment [7] , a new video game therapy is used to treat amblyopia [8] . However, this requires specific treatment environments or poor compliance of patients [9] .…”

Section: Introductionmentioning

confidence: 99%

Brain mechanism of acupuncture for children with anisometropic amblyopia: a resting functional magnetic resonance imaging study based on voxel-mirrored homotopic connectivity

Wang,

Sun,

et al. 2024

Int J Ophthalmol

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AIM: To explore the brain mechanism of acupuncture for children with anisometropic amblyopia using the voxel-mirror homotopic connectivity (VMHC) analysis method of resting functional magnetic resonance imaging (rs-fMRI) technology based on clinical effectiveness. METHODS: Eighty children with anisometropic monocular amblyopia were randomly divided into two groups: control (40 cases, 1 case of shedding) and acupuncture (40 cases, 1 case of shedding) groups. The control group was treated with glasses, red flash, grating, and visual stimulations, with each procedure conducted for 5min per time. Based on routine treatment, the acupuncture group underwent acupuncture of “regulating qi and unblocking meridians to bright eyes”, Jingming (BL1), Cuanzhu (BL2), Guangming (GB37), Fengchi (GB20) acupoints were taken on both sides, with the needle kept for 30min each time. Both groups were treated once every other day, three times per week, for a total of 4wk. After the treatment, the overall curative effect of the two groups and the latency and amplitude changes of P100 wave of pattern visual-evoked potential were counted. At the same time, nine children with left eye amblyopia were randomly selected from the two groups and were scanned with rs-fMRI before and after treatment. The differences in the brain regions between the two groups were compared and analyzed with VMHC. RESULTS: Chi-square test showed a notable difference in the total efficiency rate between the acupuncture (94.87%) and control groups (79.49%). Regarding the P100 wave latency and amplitude, the acupuncture group had significantly shorter latency and higher amplitude of P100 wave than the control group. Moreover, the VMHC values of the bilateral temporal lobe, superior temporal gyrus, and middle temporal gyrus were notably increased in the acupuncture group after treatment. CONCLUSION: Acupuncture combined with conventional treatment can significantly improve the corrected visual acuity and optic nerve conduction in children with anisometropic amblyopia. Compared with the conventional treatment, the regulation of acupuncture on the functional activities of the relevant brain areas in the anterior cerebellum may be an effective acupuncture mechanism for anisometropic amblyopia.

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Section: Introductionmentioning

confidence: 99%

Brain mechanism of acupuncture for children with anisometropic amblyopia: a resting functional magnetic resonance imaging study based on voxel-mirrored homotopic connectivity

Wang,

Sun,

et al. 2024

Int J Ophthalmol

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Refractive Surgery in Myopic Children

Urban,

Bakunowicz-Łazarczyk

2024

JCM

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In this paper, we summarize the current knowledge on refractive surgery performed in the myopic pediatric population. We describe the main concerns about refractive surgery in myopic children and the indications for refractive surgery in this age group. We present a range of surgical procedures that are being used for the management of unilateral/bilateral myopia in children: corneal refractive surgery (PRK, LASEK, LASIK, FS-LASIK and SMILE) and intraocular refractive surgery (phakic intraocular lens implantation, refractive lens exchange or clear lens extraction), with both their advantages and drawbacks. We also describe the various complications and measures to prevent them.

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Refractive surgeries in children: Debunking the controversy and assessing the safety and efficacy

Eldweik

2024

Saudi Journal of Ophthalmology

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Effectiveness of Laser Refractive Surgery to Address Anisometropic Amblyogenic Refractive Error in Children

Cited by 3 publications

References 26 publications

Brain mechanism of acupuncture for children with anisometropic amblyopia: a resting functional magnetic resonance imaging study based on voxel-mirrored homotopic connectivity

Brain mechanism of acupuncture for children with anisometropic amblyopia: a resting functional magnetic resonance imaging study based on voxel-mirrored homotopic connectivity

Refractive Surgery in Myopic Children

Refractive surgeries in children: Debunking the controversy and assessing the safety and efficacy

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