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Published on: September 27, 2024
Optic Coherence Tomography for Accommodation Control in Children with Hyperopic Anisometropia and Amblyopia
I L Kulikova1, K A Aleksandrova2
1MD, DSc, Deputy Director for Clinical Work; Cheboksary Branch of S. Fyodorov Eye Microsurgery Federal State Institution of the Ministry of Health of Russia, 10 Traktorostroiteley St., Cheboksary, 428000, Chuvash Republic, Russia; Professor of the Ophthalmology Course; Institute for Advanced Training of Doctors of the Ministry of Health of the Chuvash Republic, 27 Mikhail Sespel St., Cheboksary, 428018, Chuvash Republic, Russia.
Femtosecond laser-assisted LASIK significantly improved ciliary muscle function in children with amblyopia and hyperopic anisometropia. This refractive surgery enhances ocular accommodation, bringing it closer to the non-amblyopic eye.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Pediatric Eye Care
Background:
- Hyperopic anisometropia and amblyopia in children can impair visual development.
- Assessing ocular accommodation is crucial for understanding visual function in these conditions.
Purpose of the Study:
- To evaluate the ocular accommodation system in children with hyperopic anisometropia and amblyopia.
- To compare accommodation after femtosecond laser-assisted in situ keratomileusis (FS-LASIK) versus spectacle correction.
Main Methods:
- Utilized optical coherence tomography (OCT) to assess ciliary muscle thickness (CMT) in 60 children.
- Measured CMT at multiple levels and evaluated fluctuation amplitude (ΔCMT) under specific visual conditions.
Main Results:
- Children who underwent FS-LASIK showed a significant increase in ΔCMT in the amblyopic eye.
- Post-FS-LASIK, CMT parameters (CMT2, CMT3) improved, indicating enhanced ciliary muscle function.
Conclusions:
- OCT is effective for objectively assessing accommodative structures in pediatric patients.
- FS-LASIK surgery positively impacts the ciliary muscle's accommodative ability in amblyopic eyes.
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