Abstract | PURPOSE: METHODS: Nine eyes of nine patients, three boys and six girls with high anisometropia (>3.50 D), were included in this study. Patient age was 8 to 15 years. Minimum follow-up was 12 months. All patients were treated with the Chiron Technolas 217 excimer laser. RESULTS: Three months after LASIK, uncorrected visual acuity improved by at least five Snellen lines in all eyes. Three eyes (33.3%) were 20/40 or better without correction. Due to dense amblyopia, no eye had uncorrected visual acuity of 20/20 or better. The mean spherical equivalent refraction decreased from -7.66 to -0.22 D, and mean preoperative astigmatism decreased from -3.11 to -0.69 D. Eight eyes (88.8%) were within +/-1.00 D of emmetropia. Two eyes (22.2%) were within +/-0.50 D of the desired outcome. All patients were able to function binocularly. CONCLUSION: In this study of selected older children, LASIK was a safe and effective option for the correction of high anisometropia and for improved binocularity, when conventional therapies had failed. Further study is necessary to determine the long-term refractive stability in these young patients.
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Authors | B R Nassaralla, J J Nassaralla Jr |
Journal | Journal of refractive surgery (Thorofare, N.J. : 1995)
(J Refract Surg)
2001 Sep-Oct
Vol. 17
Issue 5
Pg. 519-24
ISSN: 1081-597X [Print] United States |
PMID | 11583221
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Anisometropia
(surgery)
- Astigmatism
(surgery)
- Cell Count
- Child
- Cornea
(pathology, surgery)
- Corneal Topography
- Endothelium, Corneal
(cytology)
- Female
- Humans
- Intraocular Pressure
- Keratomileusis, Laser In Situ
(methods)
- Male
- Myopia
(surgery)
- Prospective Studies
- Refraction, Ocular
- Safety
- Treatment Outcome
- Vision, Binocular
- Visual Acuity
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