You are in:Home/Publications/LASiK as an alternative line to treat noncompliant esotropic children

Dr. Mohamed ali mohamed abdrabo :: Publications:

LASiK as an alternative line to treat noncompliant esotropic children
Authors: Ahmed M Saeed, Mohamed A Abdrabbo
Year: 2011
Keywords: accommodative esotropia, hyperopia, keratorefractive surgery, refractive error, esodeviation
Journal: Clinical ophthalmology (Auckland, NZ)
Volume: 5
Issue: Not Available
Pages: 1795
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Not Available
Supplementary materials Not Available

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® Algretto Wave® 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 5.1–9.2 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.

Google ScholarAcdemia.eduResearch GateLinkedinFacebookTwitterGoogle PlusYoutubeWordpressInstagramMendeleyZoteroEvernoteORCIDScopus