Photorefractive keratectomy in the management of refractive accommodative esotropia in young adult patients

Pacella, Elena; Abdolrahimzadeh, Solmaz; Mollo, Roberto; Mazzeo, Luigi; Pacella, Fernanda; Mazzeo, Filomena; Gabrieli, C. Balacco

doi:10.1016/j.jcrs.2009.06.023

Cited by 10 publications

(24 citation statements)

References 8 publications

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“…SA for accommodative esotropia is also having some success. Pacella reported orthophoria in 12 out of 15 patients with the remaining 3 having a reduction in the angle of deviation with an excellent refractive outcome with a mean spherical equivalent postoperatively of −0.01 D 105 . The results of hyperopic SA remain less accurate than those of myopic SA but continue to evolve.…”

Section: Discussionmentioning

confidence: 99%

Excimer laser surface ablation – a review

Reynolds

Moore

Naroo

et al. 2010

Clinical Exper Ophthalmology

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Corneal surface laser ablation procedures for the correction of refractive error have enjoyed a resurgence of interest, especially in patients with a possible increased risk of complications after lamellar surgery. Improvements in the understanding of corneal biomechanical changes, the modulation of wound healing, laser technology including ablation profiles and different methods for epithelial removal have widened the scope for surface ablation. This article discusses photorefractive keratectomy, trans-epithelial photorefractive keratectomy, laser-assisted sub-epithelial keratomileusis and epithelial-laser-assisted in situ keratomileusis.

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Section: Discussionmentioning

confidence: 99%

Excimer laser surface ablation – a review

Reynolds

Moore

Naroo

et al. 2010

Clinical Exper Ophthalmology

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“…Pacella et al 6 have treated 15 subjects by PRK and, after a one-year follow-up, 12 patients were orthophoric and three patients had a reduction in the angle of deviation. Nucci et al 7 treated 40 patients by PRK with a mean follow-up of 3.6 years and all subjects were orthophoric at final post-operative evaluations and visual acuity; refractive error and eye alignment remained constant after one-year post-operative examination.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, there are some studies in the literature on treating refractive accommodative esotropia by photorefractive keratectomy (PRK) or laser in-situ keratomileusis (LASIK) with different results. [2][3][4][5][6][7] This study evaluates the effects of PRK among young patients with purely refractive accommodative esotropia.…”

Section: Introductionmentioning

confidence: 99%

Photorefractive Keratectomy on Purely Refractive Accommodative Esotropia

Rossi

Testa

Santamaria

et al. 2013

Seminars in Ophthalmology

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“…↓BCVA in 3 eyes from 1990 to 2019 were selected, including 6 case reports [22][23][24][25][26][27] and 22 interventional case series [5,19,[28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47].…”

Section: Study Selectionmentioning

confidence: 99%

“…The follow-up period spanned between 6 and 126 months with all studies reporting mean follow-up periods of at least 12 months (Table 1). Surgical Technique PRK was the technique of choice in 7 studies [30,31,38,40,44,46,47], LASIK was performed in 8 studies [5,19,28,29,32,34,39,41], LASEK was reported in 1 study [5] and 3 studies implanted IOLs, including iris-fixated [36,41] and implantable collamer lens [45]. In 3 studies [35,37,43], both PRK and LASIK were used.…”

Section: Case Series Enrolling Adult Patientsmentioning

confidence: 99%

Refractive Surgery for Older Children and Adults with Accommodative Esotropia: A Systematic Review

et al. 2022

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Introduction: Accommodative esotropia (AET) is characterized by an esodeviation of the eyes due to uncorrected hyperopia, deficient fusional divergence, or high accommodative convergence. Decreasing hyperopia would reduce accommodative convergence and strabismus. We sought to review the existing evidence regarding the outcomes of refractive surgery in patients with AET. Methods: A four-database search (Pubmed, ISI Web of Science, Cochrane, and Scopus) was performed from inception to March 2021 using the following MeSH terms: (“Refractive Surgical Procedures” OR “Keratomileusis, Laser In Situ” OR “Photorefractive Keratectomy” OR “Lens Implantation, Intraocular”) AND (“Esotropia” OR “Accommodative Esotropia” OR “Refractive Esotropia” OR “Accommodative Strabismus”). No meta-analysis was performed due to studies’ heterogeneity. Results: Twenty-eight studies including 22 case series enrolling 378 patients and 6 case reports enrolling 8 patients were selected among 185 original abstracts. In the case series, a total of 378 patients (726 eyes) were recruited with an age range of 8–52 years. All studies reported mean follow-up periods of at least 12 months. Photorefractive keratectomy was performed in 7 studies, laser-assisted in situ keratomileusis in 9 studies, laser-assisted sub-epithelial keratectomy was reported in 1 study, and 3 studies implanted intraocular lenses, including iris-fixated and collamer. Considering the adult patients with a preoperative corrected esodeviation ≤10 prism diopters (PD) (n = 129), all but 5 (3.9%) presented orthophoria or ≤10PD after refractive surgery. All children but 4 (4.5%) ended up with an esodeviation ≤10PD after surgery with those exceptions being in the range of 11–15PD. Six case reports were included in this review, comprising a total of 8 patients (16 eyes) with an age range of 7–34 years and a follow-up range of 4–48 months. Six case reports were included in this review, comprising a total of 8 patients (16 eyes) with an age range of 7–34 years and a follow-up range of 4–48 months. Conclusion: Evidence produced so far points out that refractive surgery may be an alternative for spectacle correction for adults with AET ≤10PD. There is not enough evidence to recommend its use for patients under 18 years of age. The safety and predictability of these procedures for this purpose remains unclear as the selection criteria used for these patients are much different than the usual indications and there are no studies with long-term follow-up.

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Photorefractive keratectomy in the management of refractive accommodative esotropia in young adult patients

Abstract: Photorefractive keratectomy was effective in the treatment of purely accommodative esotropia in young adult patients at a follow-up of 1 year. There were no cases of visual acuity loss or complications from the laser treatment.

Cited by 10 publications

References 8 publications

Excimer laser surface ablation – a review

Excimer laser surface ablation – a review

Photorefractive Keratectomy on Purely Refractive Accommodative Esotropia

Refractive Surgery for Older Children and Adults with Accommodative Esotropia: A Systematic Review

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