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George O. Waring III, MD, FRCOphth

Arch Ophthalmol. 2009;127(6):814-815.

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

Brown¹ and Tychsen² convey their disparate viewpoints about refractive surgery in children but agree on some common premises:

1. Spectacle and contact lens intolerance are requisite before any refractive surgery.
   
2. Refractive surgeons should collaborate with pediatric ophthalmologists—and in more complex cases, pediatricians—to refine clinical measurement and assessment before and after surgery; provide helpful guidance for management, such as the treatment of amblyopia; and sustain broader support for the family and other caretakers, including the refractive surgeon.
   
3. The precision of visual results achievable with refractive surgery in adults who can fixate during diagnostic testing and surgery cannot be achieved in children.
   
4. An overriding outcome variable is the change in the child's binocular visual function in everyday life, in addition to standard visual acuity and refractive measures. Their improved vision should enhance their visual awareness, decrease their tentativeness in life, and expand their social interactions.
   
5. Each author . . . [Full Text of this Article]

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