Photorefractive Keratectomy on Purely Refractive Accommodative Esotropia

Rossi, Silvia; Testa, Francesco; Santamaria, Carmine; Orrico, Ada; Attanasio, Marcella; Simonelli, Francesca; Rosa, Guiseppe De

doi:10.3109/08820538.2013.810286

Cited by 5 publications

(15 citation statements)

References 6 publications

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“…Twenty-one case series enrolling adult patients were included in this review, out of which 8 were prospective [5, 28, 35, 38, 41, 42, 44, 45]. A total of 289 patients (577 eyes) were recruited with an age range of 15–52 years.…”

Section: Resultsmentioning

confidence: 99%

“…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: Resultsmentioning

confidence: 99%

“…↓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%

“…Three studies described the presence of concomitant vertical deviation that was not affected [26,36] or even ameliorated [5] with refractive surgery. [5,19,34,36,37,39,43,45], Lang Test [30,31,36,38], Randot Stereo Test [28,40], TNO Stereo Test [35,44], Synoptophore [5,45] and Random Dot Stereo Test [42] and 3 studies [29,32,42] did not report the test used. Among 229 patients (out of 289) assessed for stereopsis before and after surgery, a total of 205 (89.5%) presented stereopsis before surgery.…”

Section: Deviation Outcomesmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Section: Case Series Enrolling Adult Patientsmentioning

confidence: 99%

Section: Deviation Outcomesmentioning

confidence: 99%

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

et al. 2022

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Accommodative esotropia: the state of the art

et al. 2018

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Accommodative Esotropia (AE) is a form of strabismus characterized by convergent misalignment of the visual axes that can be associated with hyperopia and abnormal fusional divergence. Also abnormal accommodative convergence/accommodation ratio could be found. In lots of cases, AE initially presents as an intermittent esodeviation at age 1.5 to 4 years. The prevalence of AE has been estimated near 1-2% in the United States. The only treatment with an optical correction usually is successful in re-establishing alignment, but surgical correction is necessary in approximately 30% of cases.

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Photorefractive keratectomy influences the angle of ocular deviation in strabismus patients with hyperopia

Giannaccare

Fresina

2018

Int Ophthalmol

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Photorefractive Keratectomy on Purely Refractive Accommodative Esotropia

Abstract: 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.

Cited by 5 publications

References 6 publications

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

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

Accommodative esotropia: the state of the art

Photorefractive keratectomy influences the angle of ocular deviation in strabismus patients with hyperopia

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