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Related Experiment Video

Updated: Jun 17, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
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Refractive Surgery in Myopic Children.

Beata Urban1, Alina Bakunowicz-Łazarczyk1

  • 1Department of Pediatric Ophthalmology and Strabismus, Medical University of Bialystok, Waszyngtona 17, 15-274 Bialystok, Poland.

Journal of Clinical Medicine
|August 10, 2024
PubMed
Summary

Refractive surgery for children with myopia is explored, covering concerns, indications, and surgical options like corneal procedures (LASIK, SMILE) and intraocular lenses. Potential complications and prevention strategies are also discussed.

Keywords:
childrencorneal refractive surgeryintraocular refractive surgerymyopia

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Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Refractive Error Correction

Background:

  • Myopia in children presents unique challenges for refractive correction.
  • Traditional methods like glasses and contact lenses have limitations.
  • Advancements in surgical techniques offer potential alternatives for pediatric myopia management.

Purpose of the Study:

  • To review current knowledge on refractive surgery in pediatric myopia.
  • To outline concerns and indications for surgical intervention in children.
  • To present an overview of available surgical procedures, their benefits, and risks.

Main Methods:

  • Comprehensive literature review of refractive surgery in pediatric myopia.
  • Analysis of corneal refractive surgery techniques: Photorefractive keratectomy (PRK), Laser-epithelial keratomileusis (LASEK), Laser-assisted in situ keratomileusis (LASIK), Femtosecond LASIK (FS-LASIK), Small Incision Lenticule Extraction (SMILE).
  • Evaluation of intraocular refractive surgery options: Phakic intraocular lens (IOL) implantation, Refractive lens exchange (RLE), Clear lens extraction (CLE).

Main Results:

  • Corneal procedures offer external correction but carry risks of ectasia and infection.
  • Intraocular procedures provide significant correction but involve risks to the anterior segment and lens.
  • Both approaches have specific indications based on refractive error, age, and ocular health.

Conclusions:

  • Refractive surgery in myopic children is a developing field with evolving indications and techniques.
  • Careful patient selection, surgical planning, and risk-benefit assessment are crucial.
  • Ongoing research is needed to establish long-term safety and efficacy profiles for pediatric refractive surgery.