Photorefractive keratectomy and laser in situ keratomileusis in refractive accommodative esotropia.
OBJECTIVE
To evaluate the efficacy of excimer laser refractive surgery as an alternative for optical correction in patients affected by fully refractive accommodative strabismus.


METHODS
Eye Clinic, University of L'Aquila, L'Aquila, Italy.


METHODS
After a simulation of the cycloplegic correction with contact lenses over a 30-day period, 18 patients (6 men, 12 women, mean age 32.4 years +/- 9.4 [SD]) affected by fully refractive accommodative esotropia had refractive surgery using an excimer laser; 8 patients had photorefractive keratectomy (PRK), and 10 patients had laser in situ keratomileusis (LASIK).


RESULTS
The correction of the refractive error with excimer laser allowed a reduction of the angle of deviation in all but 1 patient, who presented with a regression of refractive error and of the angle of deviation 2 years posttreatment. The 2-year follow-up showed that the mean angle of deviation in PRK was 2(Delta) esophoria at near and 0.4(Delta) esophoria at distance (P<.06); in LASIK, it was 1.7(Delta) esophoria at near and 0.2(Delta) esophoria at distance (P<.06). The difference between the 2 groups was not statistically significant at near (P = .56), at distance (P = .74), or for spherical equivalent (P = .16).


CONCLUSIONS
Excimer laser refractive surgery seems to be useful in the correction of fully refractive accommodative esotropia.
Sabetti
Lelio
L
Department of Ophthalmology, University of L'Aquila, L'Aquila, Italy. lesabetti@tin.it
Spadea
Leopoldo
L
D'Alessandri
Laura
L
Balestrazzi
Emilio
E
D000065:Accommodation, Ocular; D000328:Adult; D048988:Corneal Surgery, Laser; D004948:Esotropia / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D008875:Middle Aged; D012029:Refraction, Ocular; D054140:Refractive Surgical Procedures; D016896:Treatment Outcome