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Laser in situ keratomileusis for the treatment of refractive accommodative esotropia
Ofelia M Brugnoli de Pagano1, Gabriela L Pagano
1Department of Ophthalmology, National University of Cuyo, Mendoza, Argentina.
Purpose:
To demonstrate the effectiveness of refractive surgery with an excimer laser to correct hyperopia and convergent strabismus caused by compensatory accommodation of refractive error.
Design:
Prospective, interventional, noncomparative case series.
Participants:
Forty-six eyes of 23 patients with hyperopia and fully or partially refractive accommodative esotropia.
Methods:
Patients were treated with an excimer laser and the LASIK technique between 2000 and 2010.
Main Outcome Measures:
Preoperative and postoperative refractive spherical equivalent and ocular alignment.
Results:
Mean age ± standard deviation [SD] was 25 ± 12.6 years. Mean hyperopia ± SD was 3.67 ± 1.28 diopters (D) before surgery and 0.21 ± 0.59 D after surgery (P<0.001). The mean angle of deviation without correction was 21.0 prism diopters (Δ) before surgery and 3.7 Δ after surgery (P<0.001).
Conclusions:
Refractive surgery with excimer laser is a promising option for the treatment of refractive accommodative esotropia.
Financial Disclosure(S):
The author(s) have no proprietary or commercial interest in any materials discussed in this article.
