Laser in Situ Keratomileusis for Treatment of Fully or Partially Refractive Accommodative Esotropia

Polat, Sibel; Can, Çiğdem Ülkü; İlhan, Bayazıt; Mutluay, Ayse H; Zilelioğlu, Orhan

doi:10.1177/112067210901900508

Cited by 16 publications

(28 citation statements)

References 15 publications

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“…In a previous study, “in patients with RAE, hyperopic LASIK produced orthotropia when there was postoperative emmetropia and in patients with PAE, residual esotropia remained despite a postoperative emmetropia.”[6]…”

Section: Discussionmentioning

confidence: 99%

Use of atropine to predict the accommodative component in esotropia with hypermetropia

Kothari

Manurung²,

Paralkar³

2011

Indian J Ophthalmol

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This cohort study included children with esotropia and hypermetropia of ≥ +2.0 diopters (D). The deviation was measured at presentation, under atropine cycloplegia and 3 months after full refractive correction. Of 44 children with a mean age of 5.2 ± 2.4 years, 25 were males. Eighteen (41%) had fully refractive accommodative esotropia (RAE), 10 (23%) had partial accommodative esotropia (PAE), and 5 (11%) had nonaccommodative esotropia (NAE). Eleven (25%) had convergence excess (CE). Under cycloplegia, all with RAE and RAE with CE had orthotropia. There was no significant change in the deviation in the patients with NAE. The deviation under cycloplegia and that with full refractive correction in PAE and PAE with CE (with +3.0 D addition) were not different. The intraclass correlation coefficient for deviation under cycloplegia and after full refractive correction (+3.0 D addition for CE) was 0.89. It was concluded that ocular deviation under cycloplegia can help to predict the accommodative component in esotropia with hypermetropia.

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Section: Discussionmentioning

confidence: 99%

Use of atropine to predict the accommodative component in esotropia with hypermetropia

Kothari

Manurung²,

Paralkar³

2011

Indian J Ophthalmol

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“…Many authors have shown refractive surgery can effectively treat accommodative esotropia [32 ,33-35]. Only a few reports have specifically targeted children and adolescents for refractive surgery to treat accommodative esoptropia [43][44][45]. Phillips et al [45] reported on 15 patients with an average age of 13.9 years old (range:9.1-18.8) with average hyperopia of þ5.35 diopters.…”

Section: Refractive Surgery and Strabismusmentioning

confidence: 98%

Refractive surgery in children

Fecarotta

Kim

Wasserman

2010

Current Opinion in Ophthalmology

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“…In myopic and hypermetropic patients with accommodative strabismus, refractive surgical applications have the potential to heal ocular misalignment by correcting refractive errors (7). There are case series with different results for nonaccommodative and partially accommodative deviations (8)(9)(10). It is well known that it is very important to inform the patient about how the deviation will change after refractive surgery.…”

Section: Introductionmentioning

confidence: 99%

The Change in Deviation Measurements for Partial Accomodative Strabismus After Refractive Surgery: Early Postoperative Evaluation

Yıldız¹

2018

Beyoglu Eye J

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Objectives:The aim of this study was to evaluate the postoperative change in the angle of deviation in patients with partially accommodative esotropia or exotropia who underwent keratorefractive surgery. Methods: The records of patients with partially accommodative esotropia or exotropia who underwent keratorefractive surgery (small incision lenticule extraction [SMILE], laser in situ keratomileusis [LASIK]) were retrospectively reviewed. Preoperative and postoperative third month uncorrected and best corrected visual acuity, the angle of deviation in prism diopters, and titmus stereoacuity measurements were compared. Any preoperative strabismus surgery was also recorded. Results: A total of 19 eyes of 11 patients with partially accommodative esodeviation or exodeviation who underwent keratorefractive surgery between January 2017 and June 2017 were included in the study. Eight patients had bilateral surgery and 3 patients had unilateral surgery. The mean age of the patients was 24.9±5.78 years. Eight patients (72%) were men and 3 (28%) were women. Four patients had esotropia (36%), 5 had exotropia (45%) and 2 (18%) had exophoria. Five patients (45%) underwent a SMILE procedure and 6 patients underwent femtosecond LASIK surgery. No complications occurred preoperatively or postoperatively. One patient (0.9%) had a history of strabismus surgery before the keratorefractive procedure. No significant difference was detected in the ocular alignment and angle of deviation before and after keratorefractive surgery at postoperative third month. Conclusion: Refractive surgery seems to be ineffective at providing orthophoria for patients with partially accommodative esodeviation or exodeviation.

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Laser in Situ Keratomileusis for Treatment of Fully or Partially Refractive Accommodative Esotropia

Abstract: LASIK is a safe and effective method for treating refractive error and creating orthophoria in fRAE. In pRAE, it eliminates the refractive component of deviation safely and effectively.

Cited by 16 publications

References 15 publications

Use of atropine to predict the accommodative component in esotropia with hypermetropia

Use of atropine to predict the accommodative component in esotropia with hypermetropia

Refractive surgery in children

The Change in Deviation Measurements for Partial Accomodative Strabismus After Refractive Surgery: Early Postoperative Evaluation

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