Photorefractive keratectomy on purely refractive accommodative esotropia.

Abstract:

CONTEXT:Results on refractive keratectomy of the treatment of young patients with purely refractive accommodative esotropia. AIMS:Evaluating the results of refractive keratectomy (PRK) on the treatment of young patients with purely refractive accommodative esotropia. METHODS AND MATERIAL:This prospective study comprised patients with purely accommodative hyperopic esotropia. Patients underwent a complete ophthalmologic examination that included pre-operative and post-operative best corrected visual acuity (BCVA) and uncorrected visual acuity (UCVA) (at 3, 12, and 24 months), alignment and sensory outcomes; keratometry, pachymetry, and corneal topography. STATISTICAL ANALYSIS USED:paired T-student. RESULTS:Twenty eyes of 10 patients (mean age 21.5 years) were treated. The pre-operative mean UCVA was 0.70 logMAR (SD ± 0.177) and 0.02 logMAR (SD ± 0.029) two years later. The pre-operative BCVA was 0.02 logMAR (SD ± 0.037) and 0.01 (SD ± 0.026) two years later. The mean spherical equivalent (SE) in cyclopegia was + 3.92 D (range: +2.75 to +5.00 D; SD = 0.62) pre-operatively, -0.69 D (range -0.5 to -1) at three months and 0 D (range: -0.25 to 0.25) at one and two years later. After surgery, all patients were orthophoric without correction and stereopsis was unaffected by PRK. CONCLUSIONS:A two-year follow-up showed that photorefractive keratectomy was an effective treatment for esotropia associated with mild to moderate hyperopia in young adults with purely refractive accommodative esotropia.

journal_name

Semin Ophthalmol

authors

Rossi S,Testa F,Santamaria C,Orrico A,Attanasio M,Simonelli F,De Rosa G

doi

10.3109/08820538.2013.810286

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

25-8

issue

1

eissn

0882-0538

issn

1744-5205

journal_volume

30

pub_type

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