Visual and sensory outcomes after refractive surgery for pediatric anisometropia
Background and aim Amblyopia is one of the most common causes of loss of vision in children. Unfortunately, in high pediatric anisometropia, spectacle correction is not tolerated by many children. Also, contact-lens wear by children may seem to be extremely challenging, difficult, and unrewarding. S...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
|
| Series: | Al-Azhar Assiut Medical Journal |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/azmj.azmj_19_22 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841525313289322496 |
|---|---|
| author | Ahmed A. Farrag Mahmoud A.B. Mohamed Hasan S. Yousef |
| author_facet | Ahmed A. Farrag Mahmoud A.B. Mohamed Hasan S. Yousef |
| author_sort | Ahmed A. Farrag |
| collection | DOAJ |
| description | Background and aim
Amblyopia is one of the most common causes of loss of vision in children. Unfortunately, in high pediatric anisometropia, spectacle correction is not tolerated by many children. Also, contact-lens wear by children may seem to be extremely challenging, difficult, and unrewarding. So, the aim of this study is to evaluate visual and sensory outcomes after refractive surgery for pediatric anisometropia resistant to conservative treatment.
Patients and methods
A prospective nonrandomized clinical study was carried out on 56 eyes of 56 children with anisometropia resistant to usual treatment. Refractive surgery was conducted and according to its type, the included patients were divided. Laser In Situ Keratomileusis (LASIK) group included 26 patients, while Photorefracive Keratectomy (PRK) group included 15 children besides 15 patients in implantable collamer lens (ICL) group. Complete ophthalmologic examination was performed before and after surgery for all groups with follow-up visits at 1, 3, 6, 12, and 18 months.
Results
Uncorrected Visual Acuity (UCVA), Best Corrected Visual Acuity (BCVA), and refractive parameters improved dramatically in all groups with more significant improvement in LASIK group in comparison with the other groups. However, the preservation of BCVA was better with the ICL at both immediate healing period and through the 18-month follow-up. Sensory tests did not show significant changes in all groups.
Conclusion
Refractive surgery is safe and effective for pediatric anisometropia treatment. LASIK has better visual outcomes and ICL has more preserved outcomes. |
| format | Article |
| id | doaj-art-9d7b6d60cead42c6ba095e4da0875768 |
| institution | Kabale University |
| issn | 1687-1693 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Al-Azhar Assiut Medical Journal |
| spelling | doaj-art-9d7b6d60cead42c6ba095e4da08757682025-01-17T15:44:24ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932024-01-01221101710.4103/azmj.azmj_19_22Visual and sensory outcomes after refractive surgery for pediatric anisometropiaAhmed A. FarragMahmoud A.B. MohamedHasan S. YousefBackground and aim Amblyopia is one of the most common causes of loss of vision in children. Unfortunately, in high pediatric anisometropia, spectacle correction is not tolerated by many children. Also, contact-lens wear by children may seem to be extremely challenging, difficult, and unrewarding. So, the aim of this study is to evaluate visual and sensory outcomes after refractive surgery for pediatric anisometropia resistant to conservative treatment. Patients and methods A prospective nonrandomized clinical study was carried out on 56 eyes of 56 children with anisometropia resistant to usual treatment. Refractive surgery was conducted and according to its type, the included patients were divided. Laser In Situ Keratomileusis (LASIK) group included 26 patients, while Photorefracive Keratectomy (PRK) group included 15 children besides 15 patients in implantable collamer lens (ICL) group. Complete ophthalmologic examination was performed before and after surgery for all groups with follow-up visits at 1, 3, 6, 12, and 18 months. Results Uncorrected Visual Acuity (UCVA), Best Corrected Visual Acuity (BCVA), and refractive parameters improved dramatically in all groups with more significant improvement in LASIK group in comparison with the other groups. However, the preservation of BCVA was better with the ICL at both immediate healing period and through the 18-month follow-up. Sensory tests did not show significant changes in all groups. Conclusion Refractive surgery is safe and effective for pediatric anisometropia treatment. LASIK has better visual outcomes and ICL has more preserved outcomes.https://journals.lww.com/10.4103/azmj.azmj_19_22anisometropiarefractivesensoryamblyopia |
| spellingShingle | Ahmed A. Farrag Mahmoud A.B. Mohamed Hasan S. Yousef Visual and sensory outcomes after refractive surgery for pediatric anisometropia Al-Azhar Assiut Medical Journal anisometropia refractive sensory amblyopia |
| title | Visual and sensory outcomes after refractive surgery for pediatric anisometropia |
| title_full | Visual and sensory outcomes after refractive surgery for pediatric anisometropia |
| title_fullStr | Visual and sensory outcomes after refractive surgery for pediatric anisometropia |
| title_full_unstemmed | Visual and sensory outcomes after refractive surgery for pediatric anisometropia |
| title_short | Visual and sensory outcomes after refractive surgery for pediatric anisometropia |
| title_sort | visual and sensory outcomes after refractive surgery for pediatric anisometropia |
| topic | anisometropia refractive sensory amblyopia |
| url | https://journals.lww.com/10.4103/azmj.azmj_19_22 |
| work_keys_str_mv | AT ahmedafarrag visualandsensoryoutcomesafterrefractivesurgeryforpediatricanisometropia AT mahmoudabmohamed visualandsensoryoutcomesafterrefractivesurgeryforpediatricanisometropia AT hasansyousef visualandsensoryoutcomesafterrefractivesurgeryforpediatricanisometropia |