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Refractive surgery for accommodative esotropia: 5-year follow-up.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|April 26, 2014
Summary
Laser vision correction with LASIK or PRK effectively reduces accommodative esotropia in adults long-term. Both procedures demonstrated significant success in correcting this eye condition over a 5-year follow-up period.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Pediatric Ophthalmology
Background:
- Accommodative esotropia is a common form of strabismus in children.
- Refractive surgery, including LASIK and PRK, has emerged as a potential treatment option.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of LASIK and PRK for treating adult accommodative esotropia.
- To assess the durability of refractive surgery outcomes in this patient population.
Main Methods:
- Retrospective study including adult patients with accommodative esotropia.
- Patients underwent either LASIK or PRK and were followed for a minimum of 5 years.
- Data collected included refractive error, esotropia correction, and safety outcomes.
Main Results:
- LASIK performed on 22 patients (44 eyes) and PRK on 8 patients (16 eyes).
- Mean follow-up was over 5 years for both groups.
- 95.4% of LASIK patients and 100% of PRK patients achieved correction of esotropia to esophoria or orthotropia at 5 years.
Conclusions:
- Both LASIK and PRK are effective long-term treatments for adult accommodative esotropia.
- Refractive surgery offers a viable alternative for managing this condition.
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