Refractive surgery outcomes in patients with hyperopic anisometropic amblyopia

Session Details

Session Title: Ocular Surface & Quality of Vision

Session Date/Time: Monday 24/09/2018 | 14:00-16:00

Paper Time: 15:12

Venue: Room A3, Podium 1

First Author: : D.Kopsini GREECE

Co Author(s): :    M. Zozolou   D. Kyroudis   S. Palioura              

Abstract Details

Purpose:

To assess the role of laser refractive surgery or lens replacement surgery in adult patients with hyperopic anisometropic amblyopia.

Setting:

The tertiary referral center Athens Vision Eye Institute, Athens, Greece.

Methods:

Retrospective review of the pre-operative, intra-operative and post-operative records of 1250 patients who underwent laser refractive surgery or lens replacement surgery over a 10-year period by a single surgeon was performed in order to identify patients with hyperopic anisometropic amblyopia. The main outcome measure was uncorrected visual acuity at the first post-operative week, and the first, third and sixth post-operative months.

Results:

Eight patients satisfied the inclusion criteria. Six had hyperopic anisometropic amblyopia without history of childhood strabismus and a mean pre-operative best-corrected visual acuity of 0.2 logMAR (20/32) (range 0.1-0.3 logMAR or 20/25-20/40) in their amblyopic eye. Post-operatively their vision improved to 0.05 logMAR (20/22) (range 0-0.1 logMAR or 20/20-20/25) at an average follow-up of 5 months (range 1-6 months). Two of the eight patients had strabismus surgery in childhood and a pre-operative best corrected visual acuity of 0.15 logMAR (20/28) which failed to improve post-operatively.

Conclusions:

Refractive surgery appears promising in improving vision of patients with hyperopic anisometropic amblyopia without history of childhood strabismus. This has implications for the amblyogenic nature of hyperopia alone versus hyperopia with strabismus in early development and warrants further investigation.

Financial Disclosure:

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