Long-term Effects After Pediatric LASIK for Anisometropic Amblyopia in Two Patients.

PURPOSE

To report long-term follow-up of two pediatric patients who underwent laser in situ keratomileusis (LASIK) for myopic anisometropic amblyopia.

METHODS

Case series.

RESULTS

Two patients who underwent unilateral LASIK in 1999 for anisometropic amblyopia were clinically assessed 16 years after their initial procedure with visual acuity testing, refraction, stereopsis, axial length, corneal topography, slit-lamp examination, and quality of life assessment. Patients had stable corrected distance visual acuity, balanced refraction, improved stereopsis, and good visual quality of life. Corneal topography showed a mildly decentered ablation bed with no evidence of ectasia.

CONCLUSIONS

LASIK in the pediatric population requires special considerations, including fixation and centration issues, microkeratome selection, and refractive endpoint. The two patients were found to have stable corneal topography, visual acuity, and stereopsis 16 years after initial treatment. [J Refract Surg. 2019;35(6):391-396.].