Amblyopic management using femtosecond laser in situ keratomileusis in children 4 to 12 years of age

Session Details

Session Title: LASIK I

Session Date/Time: Sunday 23/09/2018 | 14:00-16:00

Paper Time: 15:38

Venue: Room A3, Podium 2

First Author: : K.Mehta INDIA

Co Author(s): :    C. Mehta                    

Abstract Details

Purpose:

To evaluate outcome of Lasik in pediatric age (4 to 12 years) with unilateral high myopia and amblyopia.

Setting:

Mehta International Eye Institute

Methods:

A retrospective study including 47 patients (4 to 12 years) from the Institute’s record was done from Jan 1998 to Jan 2018. Myopia was in range of -6.0 to -12.0 diopter spherical equivalent. All patients had amblyopia. Esotropia was present in 18 of the cases. All patients had an intensive work up worked up for visual acuity, subjective refraction, cycloplegic refraction, anterior and posterior segment examination, corneal topography, ultrasound pachymetry, aberrometry. Follow up minimum period of two years.

Results:

38 of the patients improved with at least 2 lines on Snellen acuity chart within 3 months with or without correction. Out of 19 patients with esotropia, 9 improved after Lasik alone. 16 in total improved with Lasik and exercises, and 3 had to undergo exotropia correction. All patients were having stable corneal topography in follow-up done for minimum 2 years.

Conclusions:

Abberometrically guided Refractive Lasik does seem to improve amblyopia despite all that has been said to the contrary and should be a recognized form of treatment to enhance the visual acuity.

Financial Disclosure:

... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented