Refractive surgery in children

Fecarotta, Christopher; Kim, Marie; Wasserman, Barry N.

doi:10.1097/icu.0b013e32833c5d19

Cited by 14 publications

(6 citation statements)

References 45 publications

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“…For those who wear contact lenses (i.e., rigid gas permeable contact lenses or orthokeratology contact lenses) to correct visual acuity, measuring both central and peripheral CT could provide a reference to assess changes in the cornea during treatment. For children with severe anisometropia or isoametropia who are unable to tolerate treatment with spectacles or contact lenses, refractive surgery could be performed as an alternative [ 7 ]; therefore, total corneal pachymetry maps along with knowledge of the position of the thinnest point provide valuable references for the selection of proper candidates for corneal refractive surgery by ophthalmic surgeons and for surgical design.…”

Section: Introductionmentioning

confidence: 99%

Corneal Thickness Profile and Associations in Chinese Children Aged 7 to 15 Years Old

Zhu

et al. 2016

PLoS ONE

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Corneal thickness (CT) maps of the central (2-mm diameter), para-central (2 to 5-mm diameter), peripheral (5 to 6-mm diameter), and minimum (5-mm diameter) cornea were measured in normal Chinese school children aged 7 to 15 years old using Fourier-domain optical coherence tomography. Multiple regression analyses were performed to explore the effect of associated factors [age, gender, refraction, axial length and corneal curvature radius (CCR)] on CT and the relationship between central corneal thickness (CCT) and intraocular pressure (IOP). A total of 1228 eyes from 614 children were analyzed. The average CCT was 532.96 ± 28.33 μm for right eyes and 532.70 ±28.45 μm for left eyes. With a 10 μm increase in CCT, the IOP was elevated by 0.37 mm Hg, as measured by noncontact tonometry. The CT increased gradually from the center to the periphery. The superior and superior nasal regions had the thickest CTs, while the thinnest points were primarily located in the inferior temporal cornea. The CCT was associated with CCR (p = 0.008) but not with gender (p = 0.075), age (p = 0.286), axial length (p = 0.405), or refraction (p = 0.985). In the para-central region and the peripheral cornea, increased CT was associated with younger age, male gender, and a flatter cornea.

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Section: Introductionmentioning

confidence: 99%

Corneal Thickness Profile and Associations in Chinese Children Aged 7 to 15 Years Old

Zhu

et al. 2016

PLoS ONE

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“…29,30 Although intraocular lens implantation in children with cataract is fully accepted by the clinical and scientific community, the same is not applicable to refractive corneal surgery with cosmetic purposes. Conversely, there are several reports of therapeutic applications of radial keratotomy in teenagers, 31 and numerous reports of laser-assisted procedures in high bilateral myopia, 32,33 as well as myopic and hyperopic anisometropia 34,35 to prevent refractive and anisometropic amblyopia, respectively.…”

Section: Discussionmentioning

confidence: 98%

Peripheral Refraction in Myopic Eyes After LASIK Surgery

Queirós¹,

Villa-Collar²,

Jorge³

et al. 2012

Optometry and Vision Science

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“…He refers that more studies are required to determine the role of refractive surgery in treating strabismus in children. [5] One study refers to a 7-year-old boy with myopia and exotropia in both eyes, refractive surgery in both eyes. The exotropia of 60 DP was reduced to 40 DP and the visual acuity of 20/200 improved to 20/100.…”

Section: Discussionmentioning

confidence: 99%

Strabismus correction with refractive surgery: a case report

Garduño Vieyra,

Rúa Martínez,

Macedo Cué

et al. 2023

Oftalmol Zh

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Background. Refractive surgery is an alternative treatment for the correction of strabismus associated with ametropia in adults.Purpose. To report a case of a young adult patient with exodeviation and uncorrected myopia in childhood who came to a consultation to improve her visual and aesthetic quality. Material and Methods. Рreoperatively, the uncorrected visual acuity of 20/400 was presented in both eyes with compound myopic astigmatism that, with correction, improved to 20/30. In addition, in both eyes the patients presented exotropia of 40º that increased to 60º.Results. Photorefractive keratectomy surgery was performed in both eyes, achieving an uncorrected visual acuity of 20/20, and orthotropia was maintained until the consultation six months after the operation.Conclusion. Refractive surgery can be performed successfully in patients with accommodative or non-accommodative strabismus. Each patient must be studied to define whether or not they are suitable for this type of surgery.

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Refractive surgery in children

Abstract: Refractive surgery is an option for children with amblyopia and strabismus who fail treatment with spectacles or contact lenses. Prospective controlled studies are needed, and longer follow-up will answer questions about the utility and safety of refractive surgery in children.

Cited by 14 publications

References 45 publications

Corneal Thickness Profile and Associations in Chinese Children Aged 7 to 15 Years Old

Corneal Thickness Profile and Associations in Chinese Children Aged 7 to 15 Years Old

Peripheral Refraction in Myopic Eyes After LASIK Surgery

Strabismus correction with refractive surgery: a case report

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