Abstract | INTRODUCTION: METHODS: RESULTS: Twenty-eight studies including 22 case series enrolling 378 patients and 6 case reports enrolling 8 patients were selected among 185 original abstracts. In the case series, a total of 378 patients (726 eyes) were recruited with an age range of 8-52 years. All studies reported mean follow-up periods of at least 12 months. Photorefractive keratectomy was performed in 7 studies, laser-assisted in situ keratomileusis in 9 studies, laser-assisted sub-epithelial keratectomy was reported in 1 study, and 3 studies implanted intraocular lenses, including iris-fixated and collamer. Considering the adult patients with a preoperative corrected esodeviation ≤10 prism diopters (PD) (n = 129), all but 5 (3.9%) presented orthophoria or ≤10PD after refractive surgery. All children but 4 (4.5%) ended up with an esodeviation ≤10PD after surgery with those exceptions being in the range of 11-15PD. Six case reports were included in this review, comprising a total of 8 patients (16 eyes) with an age range of 7-34 years and a follow-up range of 4-48 months. Six case reports were included in this review, comprising a total of 8 patients (16 eyes) with an age range of 7-34 years and a follow-up range of 4-48 months. CONCLUSION: Evidence produced so far points out that refractive surgery may be an alternative for spectacle correction for adults with AET ≤10PD. There is not enough evidence to recommend its use for patients under 18 years of age. The safety and predictability of these procedures for this purpose remains unclear as the selection criteria used for these patients are much different than the usual indications and there are no studies with long-term follow-up.
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Authors | André Ferreira, Ana Marta, Pedro Manuel Baptista, Filipa Caiado, Ana Carolina Abreu, Sofia Maia, Vasco Miranda, Maria Céu Pinto, Ricardo Parreira, Pedro Menéres |
Journal | Ophthalmic research
(Ophthalmic Res)
Vol. 65
Issue 4
Pg. 361-376
( 2022)
ISSN: 1423-0259 [Electronic] Switzerland |
PMID | 35226900
(Publication Type: Systematic Review)
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Copyright | © 2022 The Author(s). Published by S. Karger AG, Basel. |
Topics |
- Adolescent
- Adult
- Child
- Child, Preschool
- Humans
- Infant
- Middle Aged
- Young Adult
- Esotropia
(surgery)
- Hyperopia
- Keratomileusis, Laser In Situ
(methods)
- Refraction, Ocular
- Strabismus
(surgery)
- Visual Acuity
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