/ /

  • linkedin
  • Increase Font
  • Sharebar

    Refractive surgery for special needs children: The time is now

    For many, living in a visual blur promotes fearfulness, blunts social interactions


    In children with high myopia and sufficient anterior chamber depth, he implants a Visian ICL (Staar Surgical Company). For high hyperopic and astigmatic errors, he implants an Artisan hyperopic or toric phakic IOL (Ophtec). These IOLs are enclaved to the iris at the 3 and 9 o’clock fixation points.

    “The virtue of the phakic IOL is stable correction of extreme ametropia. The mean refractive error in this study population was 15 D,” he said. Patients implanted with a phakic IOL gained 13 lines of vision compared with preoperatively.

    Another important finding in this patient group was that half of the children who underwent a refractive procedure gained some binocular fusion, ranging from level 1 (restoration of a positive prism vergence fusional response) to level 5 (100 arc sec stereopsis).

    Surgical risks

    Induced corneal haze is the biggest concern with excimer laser keratectomy. In this group, the severities ranged from grade 0 (none) to grade 4 (severe). Dr. Tychsen reported that 83% had no haze, 8% had grade 1 haze, 5% grade 2 haze, and 2% each grades 3 and 4 haze. No child has developed corneal ectasia.

    New Call-to-action


    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • No comments available


    View Results