Document Detail


Photorefractive keratectomy for myopic anisometropia: a retrospective study on 18 children.
MedLine Citation:
PMID:  18850548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the safety and efficacy of photorefractive keratectomy (PRK) performed under topical anesthesia in children with myopic anisometropia. METHODS: Medium to high unilateral myopia was corrected in 18 patients by PRK. At the time of surgery patients were between 7 and 17 years of age (mean 10 years). All the surgical procedures were performed under topical anesthesia. Pre- and postoperative data regarding visual acuity, eye alignment, and binocular vision were analyzed. RESULTS: The mean correction (SE) obtained with excimer laser was -8.21 D (range: -2.25 to -14.50, SD 3.90). The mean preoperative best spectacle-corrected visual acuity (BSCVA) was 20/70, and the postoperative mean BSCVA was 20/50. A significant difference was observed between the arithmetic mean of the preoperative and postoperative BSCVA (p=0.001). Two of 18 patients improved stereopsis; furthermore, surgery variation strabismus was registered in 33.3% of the patients, following PRK. Patients were followed up for a mean of 39 months. CONCLUSIONS: The treatment of medium to high unilateral myopia with PRK under local anesthesia was found effective and safe in pediatric and adolescent patients. This procedure may improve ocular alignment and stereopsis. Further studies are needed to increase the patient experience and extend follow-up time in order to assess the long-term stability of the RESULTS.
Authors:
A Magli; A Iovine; V Gagliardi; F Fimiani; P Nucci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  18     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-10-13     Completed Date:  2008-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  716-22     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, University of Napoli 'Federico II', Napoli - Italy. magli@unina.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anisometropia / surgery*
Child
Female
Follow-Up Studies
Humans
Lasers, Excimer / therapeutic use*
Male
Myopia / surgery*
Photorefractive Keratectomy / methods*
Retrospective Studies
Treatment Outcome
Vision, Binocular / physiology
Visual Acuity / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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