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Post LASIK progressive astigmatism in a child with partially accommodative esotropia
1Pediatric ophthalmology and strabismology services, Dr Shroff's Charity Eye Hospital, Daryaganj, New Delhi.
Summary
Refractive surgery in children can lead to vision problems like irregular astigmatism and worsening esotropia. Caution is advised, especially when surgery isn't medically necessary.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
Background:
- Refractive surgery is a common procedure for correcting vision errors in adults.
- Partially accommodative esotropia is a condition affecting eye alignment in children.
Observation:
- A seven-year-old child with partially accommodative esotropia underwent LASIK surgery.
- The child developed progressive irregular corneal astigmatism and reduced visual acuity post-surgery.
Findings:
- The case highlights a rare complication of LASIK in a pediatric patient.
- Deterioration of vision and loss of stereopsis were noted after the refractive procedure.
Implications:
- Keratorefractive surgery in young children requires careful consideration.
- Non-urgent refractive surgery in children may be best deferred until adolescence.
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