LASIK as an alternative line to treat noncompliant esotropic children

Ahmed M Saeed, Mohamed A AbdrabboEbsar Eye Center, Benha University, Benha, EgyptPurpose: To assess the safety and efficacy of laser-assisted in situ keratomileusis (LASIK) in facilitating strabismus management in noncompliant children with fully accommodative esotropia.Setting: Ebsar Eye Center, Be...

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Autores principales:	Abdrabbo MA, Saeed AM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/7295feef078543cc945f5dc057312daf
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spelling	oai:doaj.org-article:7295feef078543cc945f5dc057312daf2021-12-02T02:48:06ZLASIK as an alternative line to treat noncompliant esotropic children1177-54671177-5483https://doaj.org/article/7295feef078543cc945f5dc057312daf2011-12-01T00:00:00Zhttp://www.dovepress.com/lasik-as-an-alternative-line-to-treat-noncompliant-esotropic-children-a8918https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ahmed M Saeed, Mohamed A AbdrabboEbsar Eye Center, Benha University, Benha, EgyptPurpose: To assess the safety and efficacy of laser-assisted in situ keratomileusis (LASIK) in facilitating strabismus management in noncompliant children with fully accommodative esotropia.Setting: Ebsar Eye Center, Benha University (Benha, Egypt).Methods: The study comprised 20 eyes of ten consecutive patients with accommodative esotropia. All patients were noncompliant with glasses and had refractive stability. They received brief general anesthesia and had bilateral LASIK using Wavelight&reg; Algretto Wave&reg; Eye-Q Excimer Laser (Alcon, Inc, Hunenberg, Switzerland) to fully correct their hyperopic refractive errors aiming to achieve orthophoria. Preoperative and postoperative best corrected visual acuity, cycloplegic refraction, angle of squint, and any LASIK complications were recorded. Follow-up period was 9 months.Results: The age of patients ranged 5.1&ndash;9.2 years and the hyperopic error range was +3.5 D to +6.75 D, with anisometropia 2 D or less. No patient had decreased best corrected visual acuity or loss of fusion ability. The postoperative refractive error ranged from -0.75 D to +1.5 D at the end of the study period. All patients achieved orthophoria. No significant intraoperative or postoperative complications were recorded.Conclusion: LASIK appears to be effective and relatively safe to treat accommodative esotropic children by reducing their hyperopic refractive error, however, patient selection is critical. Larger studies with longer follow-up are necessary to determine its long-term effects.Keywords: accommodative esotropia, hyperopia, keratorefractive surgery, refractive error, esodeviationAbdrabbo MASaeed AMDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1795-1801 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Abdrabbo MA Saeed AM LASIK as an alternative line to treat noncompliant esotropic children
description	Ahmed M Saeed, Mohamed A AbdrabboEbsar Eye Center, Benha University, Benha, EgyptPurpose: To assess the safety and efficacy of laser-assisted in situ keratomileusis (LASIK) in facilitating strabismus management in noncompliant children with fully accommodative esotropia.Setting: Ebsar Eye Center, Benha University (Benha, Egypt).Methods: The study comprised 20 eyes of ten consecutive patients with accommodative esotropia. All patients were noncompliant with glasses and had refractive stability. They received brief general anesthesia and had bilateral LASIK using Wavelight&reg; Algretto Wave&reg; Eye-Q Excimer Laser (Alcon, Inc, Hunenberg, Switzerland) to fully correct their hyperopic refractive errors aiming to achieve orthophoria. Preoperative and postoperative best corrected visual acuity, cycloplegic refraction, angle of squint, and any LASIK complications were recorded. Follow-up period was 9 months.Results: The age of patients ranged 5.1&ndash;9.2 years and the hyperopic error range was +3.5 D to +6.75 D, with anisometropia 2 D or less. No patient had decreased best corrected visual acuity or loss of fusion ability. The postoperative refractive error ranged from -0.75 D to +1.5 D at the end of the study period. All patients achieved orthophoria. No significant intraoperative or postoperative complications were recorded.Conclusion: LASIK appears to be effective and relatively safe to treat accommodative esotropic children by reducing their hyperopic refractive error, however, patient selection is critical. Larger studies with longer follow-up are necessary to determine its long-term effects.Keywords: accommodative esotropia, hyperopia, keratorefractive surgery, refractive error, esodeviation
format	article
author	Abdrabbo MA Saeed AM
author_facet	Abdrabbo MA Saeed AM
author_sort	Abdrabbo MA
title	LASIK as an alternative line to treat noncompliant esotropic children
title_short	LASIK as an alternative line to treat noncompliant esotropic children
title_full	LASIK as an alternative line to treat noncompliant esotropic children
title_fullStr	LASIK as an alternative line to treat noncompliant esotropic children
title_full_unstemmed	LASIK as an alternative line to treat noncompliant esotropic children
title_sort	lasik as an alternative line to treat noncompliant esotropic children
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/7295feef078543cc945f5dc057312daf
work_keys_str_mv	AT abdrabboma lasikasanalternativelinetotreatnoncompliantesotropicchildren AT saeedam lasikasanalternativelinetotreatnoncompliantesotropicchildren
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LASIK as an alternative line to treat noncompliant esotropic children

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