Photorefractive keratectomy in refractive accommodative esotropia

Bi̇lgi̇han, Kamil; Akata, Fikret; Or, Meral; Hasanreısoğlu, Berati

doi:10.1038/eye.1997.86

Cited by 20 publications

(16 citation statements)

References 2 publications

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“…With the exception of Sabetti et al 7, our previously reported series4 5 and a single case report,1 the remainder of published reports utilise LASIK rather than PRK to treat refractive accommodative esotropia. Proponents of LASIK cite the ability to correct larger refractive errors, better predictability, faster healing times, less postoperative discomfort, less haze, shorter course of postoperative steroids, avoidance of postoperative contact lens use and preservation of Bowman's membrane as advantages of LASIK over PRK.…”

Section: Discussionmentioning

confidence: 99%

Photorefractive keratectomy for the treatment of purely refractive accommodative esotropia: 6 years' experience

Hutchinson¹,

Serafino

Nucci

2010

British Journal of Ophthalmology

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Background/aims To report the long term outcomes of photorefractive keratectomy (PRK) for the treatment of hyperopia associated with purely refractive accommodative esotropia. Methods Retrospective chart review of 40 patients age 17–39 who underwent PRK to eliminate their dependence on glasses. Pre and post-operative best spectacle corrected visual acuity (BSCVA), uncorrected visual acuity (UCVA), refractive spherical equivalent (SEQ), ocular alignment, and stereoacuity were reviewed. Results Forty patients (80 eyes) with mean age 27.9 years were treated for a mean pre-operative SEQ of +3.06D hyperopia. The mean final post-operative SEQ was +0.06. Pre-operative BSCVA was 0.04 logMAR, and did not change post-operatively. Mean UCVA significantly improved from 0.30 logMAR preoperatively to 0.08 logMAR post-operatively. Mean pre-operative esotropia at distance and near was 18.6 PD. All patients were orthophoric without correction at the one month, one year, and final post-operative evaluations. Visual acuity, refractive error and alignment remained stable after the one year post-operative examination. Stereoacuity was unchanged in 80% of patients postoperatively. There were no complications. Conclusion PRK can be used to treat low to moderate hyperopia associated with purely refractive accommodative esotropia in young adults.

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Section: Discussionmentioning

confidence: 99%

Photorefractive keratectomy for the treatment of purely refractive accommodative esotropia: 6 years' experience

Hutchinson¹,

Serafino

Nucci

2010

British Journal of Ophthalmology

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“…Diplopia and strabismus have been reported as complications after refractive surgery, [1][2][3][4][5][6][7] cautioning the ophthalmologists to include an orthoptic examination in the preoperative evaluation and to define patients at risk. [7][8][9] Recently, hyperopic accommodative strabismus [10][11][12][13][14][15] and myopic exotropia in anisometropia 14 have been proposed as a separate indication for refractive surgery.…”

mentioning

confidence: 99%

Effect of refractive surgery on binocular vision and ocular alignment in patients with manifest or intermittent strabismus

Godts

Trau

Tassignon

2006

British Journal of Ophthalmology

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“…Refractive surgery is a procedure commonly used to correct myopia, hypermetropia, astigmatism, and anisometropia. Refractive surgery in strabismus patients is a special subject that continues to be studied (1)(2)(3). It has been reported in the literature that strabismus and diplopia can also occur de novo after different refractive procedures performed in ametropic patients (4,5).…”

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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Photorefractive keratectomy in refractive accommodative esotropia

Abstract: SUMMARY

Cited by 20 publications

References 2 publications

Photorefractive keratectomy for the treatment of purely refractive accommodative esotropia: 6 years' experience

Photorefractive keratectomy for the treatment of purely refractive accommodative esotropia: 6 years' experience

Effect of refractive surgery on binocular vision and ocular alignment in patients with manifest or intermittent strabismus

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

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