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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2005, Number 6

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Rev Mex Oftalmol 2005; 79 (6)

Lasik in children.

Rodriguez-Lara E, Escobar-Guinea H, Rodriguez-Pérez JP
Full text How to cite this article

Language: Spanish
References: 9
Page: 293-295
PDF size: 98.09 Kb.


Key words:

LASIK in children, pediatric LASIK, anisometropia, amblyopia.

ABSTRACT

Purpose: To analyze the indications, surgical technique, results and complications of LASIK in pediatric patients operated at Clinica de Ojos de Tijuana.
Materials and Methods: Thirty-two patients (sixty-one eyes) were submitted to a LASIK procedure from 1997 to 2004. All patients had high refractive errors, accommodative endotropia, anisometropia, relative amblyopia or contact lens or spectacle intolerance. Topical anesthesia was used in 27 patients.
Results: Patients included in this study had the following characteristics: average age, 13 years, 29 patients were submitted to bilateral LASIK, 3 patients were submitted to LASIK in one eye, and average follow-up of 21 months. Average pre-operative uncorrected visual acuity was 20/400 and post-operative uncorrected visual acuity was 20/30. Average pre-operative spherical equivalent was –11.21 for myopes, +4.30 for hyperopes, and –0.12 for mixted astigmatism. Average post-operative spherical equivalent was –1.4 for myopes, +0.39 for hyperopes, and –0.09 for mixted astigmatism patients. No complications occurred during the LASIK procedure. One patient had a late post-operative complication.
Conclusion: LASIK is a safe procedure, easily performed in a pediatric population with topical anesthesia. Refractive and visual outcome was shown to be stable during the follow-up period.


REFERENCES

  1. 1. Mrukwa-Kominek E, Gierek-Ciaciura S. Laser correction of myopia and myopic astigmatism in children-literature review. Klin Oczna 2003; 105(6):425-7.

  2. 2. Autrata R, Rehurek J. Laser-assisted subepitelial keratectomy and photorefractive keratectomy versus conventional treatment of myopic anisometropic amblyopia in children. J Cataract Refract Surg 2004; 30(1):74-84.

  3. 3. Medvedeva NI, Sheludchenko VM. Choice of a surgical correction method in hypermetropic anisotropia in children. Vestn Oftalmol 2003; 119(6):14-8.

  4. 4. Agarwal A, Agarwal A, Agarwal T. Results of pediatric laser in situ keratomileusis. J Cataract Refract Surg 2000; 26(5):684-9.

  5. 5. Nucci P, Drack AV. Refractive surgery for unilateral high myopia in children. J AAPOS 2001; 5(6):348-51.

  6. 6. Nassaralla BR, Nassaralla JJ. Laser in situ keratomileusis in children 8 to 15 years old. J Refract Surg 2001; 17(5):519-4.

  7. 7. O’Keefe M, Nolan L. Lasik surgery in children. Br J Ophthalmol 2004; (1):19-21.

  8. 8. O’Eineachain R. Lasik Useful in Juvenil anisometropia may prevent amblyopia recurrence. Eurotimes 2001; 6(6).

  9. 9. Sheludchenko VM, Rybintseva LV. Correction of high astigmatism and astigmatic anisometropia by intrastromal photokerato-ablation in children and adolescents. Vestn Oftalmol 2002; 118 (4):18-22.




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Rev Mex Oftalmol. 2005;79