Journal of Refractive Surgery

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Original Article 

LASIK in Children With Hyperopic Anisometropic Amblyopia

Canan Asli Utine, MD, MSc; Hanefi Cakir, MD; Abdulkadir Egemenoglu, MD; Irfan Perente, MD

Abstract

PURPOSE

To evaluate the results of LASIK for hyperopia in pediatric eyes with amblyopia resulting from anisometropia.

METHODS

Thirty-two children with anisometropic amblyopia in whom conventional therapy was unsuccessful underwent unilateral LASIK between 1999 and 2005. Mean patient age was 10.3±3.1 years (range: 4 to 15 years), and mean follow-up was 20.1±15.1 months (range: 12 to 60 months). At the last follow-up examination, spherical equivalent refraction, uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), and complications were recorded.

RESULTS

Mean preoperative and postoperative manifest spherical equivalent refraction of the treated eyes was 5.17±1.65 and 1.39±1.21 diopters (D), respectively (P<.01). Mean UCVA was 0.06±0.09 (range: 0.01 to 0.5) preoperatively and 0.27±0.23 (range: 0.05 to 0.8) postoperatively (P<.01). Mean BSCVA was 0.20±0.17 (range: 0.01 to 0.8) preoperatively and 0.35±0.25 (range: 0.1 to 1.0) postoperatively (P<.01). Six eyes gained ≥4 lines of BSCVA, 4 eyes gained 2 to 3 lines, 12 eyes gained 1 line, and 9 eyes were unchanged; only 1 eye lost 1 line of BSCVA due to haze in the flap-stroma interface. None of the patients reported halos or glare. There were no intraoperative or postoperative flap complications.

CONCLUSIONS

LASIK seems to be an effective and safe procedure for the management of hyperopic anisometropic amblyopia in select cases. Visual acuity improved in the amblyopic eyes and was associated with decreased anisometropia. The refractive response to hyperopic LASIK in children appears to be similar to that of adults with comparable refractive errors. [J Refract Surg. 2008;24:464-472.]

ABOUT THE AUTHORS

From Turkiye Hospital (Utine, Cakir, Egemenoglu), Yeditepe University Eye Hospital (Utine), and Beyoglu Eye Research and Training Hospital (Perente), Istanbul, Turkey.

The authors have no proprietary interest in the materials presented herein.

Correspondence: Canan Asli Utine, MD, MSc, Guzelbahce sokak No:14/4, Hancioglu apt, Nisantasi, 34365 Istanbul, Turkey. Tel: 9 212 2114000; Fax: 9 212 211500; E-mail: cananutine@gmail.com

Received: October 7, 2006

Accepted: March 28, 2007

Posted online: August 31, 2007

Abstract

PURPOSE

To evaluate the results of LASIK for hyperopia in pediatric eyes with amblyopia resulting from anisometropia.

METHODS

Thirty-two children with anisometropic amblyopia in whom conventional therapy was unsuccessful underwent unilateral LASIK between 1999 and 2005. Mean patient age was 10.3±3.1 years (range: 4 to 15 years), and mean follow-up was 20.1±15.1 months (range: 12 to 60 months). At the last follow-up examination, spherical equivalent refraction, uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), and complications were recorded.

RESULTS

Mean preoperative and postoperative manifest spherical equivalent refraction of the treated eyes was 5.17±1.65 and 1.39±1.21 diopters (D), respectively (P<.01). Mean UCVA was 0.06±0.09 (range: 0.01 to 0.5) preoperatively and 0.27±0.23 (range: 0.05 to 0.8) postoperatively (P<.01). Mean BSCVA was 0.20±0.17 (range: 0.01 to 0.8) preoperatively and 0.35±0.25 (range: 0.1 to 1.0) postoperatively (P<.01). Six eyes gained ≥4 lines of BSCVA, 4 eyes gained 2 to 3 lines, 12 eyes gained 1 line, and 9 eyes were unchanged; only 1 eye lost 1 line of BSCVA due to haze in the flap-stroma interface. None of the patients reported halos or glare. There were no intraoperative or postoperative flap complications.

CONCLUSIONS

LASIK seems to be an effective and safe procedure for the management of hyperopic anisometropic amblyopia in select cases. Visual acuity improved in the amblyopic eyes and was associated with decreased anisometropia. The refractive response to hyperopic LASIK in children appears to be similar to that of adults with comparable refractive errors. [J Refract Surg. 2008;24:464-472.]

ABOUT THE AUTHORS

From Turkiye Hospital (Utine, Cakir, Egemenoglu), Yeditepe University Eye Hospital (Utine), and Beyoglu Eye Research and Training Hospital (Perente), Istanbul, Turkey.

The authors have no proprietary interest in the materials presented herein.

Correspondence: Canan Asli Utine, MD, MSc, Guzelbahce sokak No:14/4, Hancioglu apt, Nisantasi, 34365 Istanbul, Turkey. Tel: 9 212 2114000; Fax: 9 212 211500; E-mail: cananutine@gmail.com

Received: October 7, 2006

Accepted: March 28, 2007

Posted online: August 31, 2007

10.3928/1081597X-20080501-03

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