Hyperopic LASIK in pediatric ophthalmology

Merab Dvali, Eter Mshvidobadze, Nana Tsintsadze, Bella Sirbiladze, Sophia Mirtskhulava

Department of Ophthalmology, Tbilisi State Medical University, Georgia

Refractive errors’ correction is a purpose of excimer laser surgery (LASIK). LASIK is primary indication for hyperopic children with anysometropia with high astigmatism when impossibility correct’ on with glasses or contact lenses leads to amblyopiа or strabismus development. 63 eyes of 46 patients underwent excimer laser refractive surgery over a 6 year period. Patients underwent a complete ophthalmic examination including systemic work-up. Laser correction was based on the full cycloplegic refraction to avoid residual hyperopia postoperatively. Preoperative uncorrected visual acuity (UCVA) ranged from 0,04 to 1,0; preoperative best spectacle-corrected visual acuity (BSCVA) - from 0,1 to 1,0; postoperative UCVA - from 0,3 to 1,0. Postoperative UCVA was heater that preoperative BSCVA in 44 (70%). The degree of amblyopiа decreased in 24 cases, and disappeared 20 cases. Excimer laser correction of hyperopia and hyperopic astigmatism in children and adolescents not only aims to correct refractive errors, but to improve visual functions in amblyopia cases, correct accommodative strabismus as well as form full-value binocular vision.

Keywords:  hyperopic LASIK, astigmatism, amblyopiа, strabismus, сhildren