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Photorefractive keratectomy in refractive accommodative esotropia
1Department of Ophthalmology, Gazi University Medical Faculty, Ankara, Turkey.
Eye (London, England)
|January 1, 1997
Summary
Photorefractive keratectomy (PRK) successfully treated a young man with hyperopic astigmatism and esotropia. The laser eye surgery corrected his vision and eliminated eye misalignment, restoring normal binocular vision.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Strabismus Management
Background:
- A 19-year-old male presented with hyperopic astigmatism and significant esotropia.
- The patient exhibited 30 prism diopters of esotropia at distance and near without corrective lenses.
- Best corrected visual acuity was 20/50 in the right eye and 20/20 in the left eye.
Observation:
- The patient was orthophoric when wearing spectacles, indicating a refractive component to his eye misalignment.
- A key observation was the link between excessive accommodative convergence and the uncorrected hyperopic refractive error.
Findings:
- Photorefractive keratectomy (PRK) was performed to correct the patient's hyperopic astigmatism.
- The refractive error correction via PRK effectively eliminated the excessive accommodative convergence.
- Post-treatment, the patient achieved orthophoria, resolving the esotropia at both distance and near.
Implications:
- PRK can be an effective treatment for esotropia secondary to uncorrected hyperopic astigmatism.
- This case highlights the importance of addressing refractive errors in managing certain types of strabismus.
- Laser vision correction offers a potential solution for eliminating accommodative esotropia in select patients.