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Sandra M. Brown, MD

Arch Ophthalmol. 2009;127(6):807-809.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Is refractive surgery an appropriate treatment for some pediatric eye disorders? Proponents believe it is useful in the management of anisometropic amblyopia and bilateral high ametropia. Noncompliance with standard optical correction by glasses or contact lenses is the customary indication in the peer-reviewed literature. Authors argue that surgical treatment is better for the child than continued unsuccessful efforts at conventional optical management or discontinuation of therapy. Refractive surgery in pediatric patients functions as optical correction that cannot be removed at will, lost, or broken.

WHAT IS REALLY BEING TREATED

Most published reports describe children with unilateral high (axial) myopia or myopic astigmatism^1-14 or bilateral myopia with anisometropia,¹² who tolerated glasses and/or contact lenses during their formative vision years but later rejected optical correction. A smaller number of reports include hyperopic patients.^14-18 The stated surgical indications are often questionable and may demonstrate the authors' lack of understanding of childhood cortical vision development. . . . [Full Text of this Article]

OPTICAL CONSIDERATIONS

CONSIDERATION OF LONG-TERM RISKS

SUGGESTIONS FOR FUTURE CLINICAL TRIALS

AUTHOR INFORMATION
Author Affiliation: Cabarrus Eye Center, Concord, North Carolina.

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