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Refractive surgery in children.

Christopher M Fecarotta1, Marie Kim, Barry N Wasserman

  • 1Wills Eye Institute, Philadelphia, Pennsylvania 19107, USA.

Current Opinion in Ophthalmology
|July 6, 2010
PubMed
Summary
This summary is machine-generated.

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Refractive surgery can be an option for children with amblyopia or strabismus when glasses or contacts fail. Further research is needed to determine optimal age and procedures for pediatric refractive surgery.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery

Background:

  • Refractive surgery in children is a developing field with ongoing debate.
  • Recent literature explores its use for strabismus and amblyopia.

Purpose of the Study:

  • To review current indications and outcomes for pediatric refractive surgery.
  • Evaluate procedures like LASIK, LASEK, PRK, and IOL placement.

Main Methods:

  • Literature review of recent publications.
  • Analysis of refractive surgery outcomes in pediatric patients.

Main Results:

  • Refractive surgery is reported to treat strabismus and amblyopia (both ametropic and anisometropic).
  • Key considerations include optimal patient age and surgical technique selection.

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  • Procedure choice is guided by the specific clinical scenario.

    • Conclusions:

    • Refractive surgery is a viable option for pediatric patients with amblyopia and strabismus unresponsive to conventional treatments.
    • Further prospective, controlled studies with extended follow-up are essential.
    • Long-term data is required to fully establish the utility and safety of refractive surgery in children.