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Pediatric Ophthalmology pp 21–31Cite as

Refractive Surgery in Children

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Abstract

• Anisometropic amblyopia is an important cause of visual impairment worldwide. Bilateral ametropic amblyopia can be severe enough to cause legal blindness in both eyes (20/200 or worse in the better seeing eye). Traditional treatment measures are ineffective in a significant number of affected children.

• Excimer refractive surgery is effective for correcting amblyopiogenic levels of severe anisometropia and bilateral ametropia when traditional treatment fails.

• Excimer refractive surgery in children usually requires general anesthesia. Specific modifications to the typical anesthesia protocol are needed to avoid the escape of inhalational anesthetic agents that will affect the excimer laser/tissue interaction.

• Refractive lens exchange and phakic intraocular lenses are just starting to be investigated in children with extremely high refractive errors that are outside the treatment range for excimer laser.

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Author information

Authors and Affiliations

  1. Cullen Eye Institute, Baylor College of Medicine, Texas Children’s Hospital, 6621 Fannin Street CCC 640.00, 77030, Houston, TX, USA

    Evelyn A. Paysse & Ashvini K. Reddy

  2. Cullen Eye Institute, Baylor College of Medicine, Neurosensory Center, 77030, Houston, TX , USA

    Mitchell P. Weikert

Authors
  1. Evelyn A. Paysse
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  2. Ashvini K. Reddy
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  3. Mitchell P. Weikert
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Editor information

Editors and Affiliations

  1. Albert Florens Storm Eye Institute, Department of Ophthalmology, Medical University of South Carolina, 167, Ashley Avenue, 29425, Charleston, SC, USA

    M. Edward Wilson , Rupal H. Trivedi  & Richard A. Saunders ,  & 

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Paysse, E., Reddy, A., Weikert, M. (2009). Refractive Surgery in Children. In: Wilson, M., Trivedi, R., Saunders, R. (eds) Pediatric Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68632-3_3

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  • DOI: https://doi.org/10.1007/978-3-540-68632-3_3

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  • Print ISBN: 978-3-540-68630-9

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