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  Vol. 104 No. 5, May 1986 TABLE OF CONTENTS
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Long-term Follow-up of Refractive and Keratometric Results of Pediatric Epikeratophakia

Robert C. Arffa, MD; Thomas L. Marvelli, MD; Keith S. Morgan, MD

Arch Ophthalmol. 1986;104(5):668-670.


Abstract

• To examine the long-term stability of epikeratophakia and its effect on the development of young eyes, the change in corneal curvature and refractive error over time were reviewed in pediatric patients who underwent epikeratophakia for optical correction of aphakia. Over an average follow-up time of 28.0 months, corneal curvature flattened by 1.15 diopters, or 0.53 D/yr. The average change in refractive error was –2.81 D over 23.6 months, or 1.49 D/yr. Patients younger than 1 year of age at surgery became significantly more myopic over the period of follow-up (4.75 D) than patients older than 1 year of age at surgery (2.24 D). These changes are consistent with the corneal flattening and increase in axial length expected from normal growth. Aphakic infants corrected to emmetropia with epikeratophakia will likely require correction of myopia in later childhood.



Author Affiliations

From the Lions Eye Research Laboratories, Louisiana State University (LSU) Eye Center, LSU Medical Center School of Medicine, New Orleans.


Footnotes

Accepted for publication Nov 12, 1985.

Reprint requests to LSU Eye Center, 136 S Roman St, New Orleans, LA 70112 (Dr Arffa).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Photorefractive Keratectomy for Correction of Epikeratophakia Regression
Ami et al.
Arch Ophthalmol 2000;118:281-282.
FULL TEXT  

Interface Opacities in Epikeratophakia
Morgan and Beuerman
Arch Ophthalmol 1986;104:1505-1508.
ABSTRACT  





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