Purchase this article with an account.
K. Sakatani, N.S. Jabbur, T.P. O'Brien; Improvement in Best Corrected Visual Acuity in Amblyopic Adult Eyes after LASIK . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2693.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose: We observed an unexpected improvement in the best spectacle corrected visual acuity (BSCVA) of amblyopic eyes of adult patients after undergoing LASIK. We conducted two retrospective investigations: the first one compared the pre-operative BSCVA with the post-operative UCVA (uncorrected visual acuity) and the second one compared the pre-operative BSCVA with the post-operative BSCVA in an effort to detect an improvement after LASIK in patients with amblyopia. Methods: The records of all patients with a prior history of amblyopia undergoing consecutive bilateral LASIK from 11/1999 to 10/2002 were retrospectively reviewed. Thirteen patients (8 men and 5 women) with mean age of 41 (range, 22-61) having amblyopia (12 unilateral; 1 bilateral = 14 eyes) were identified. Results: Six eyes had a history of anisometropic amblyopia and 4 other eyes had a history of strabismic amblyopia. Five eyes underwent prior patching therapy and 2 eyes prior strabismus surgery. Eight eyes had myopia with astigmatism, 4 eyes had hyperopia with astigmatism and 2 eyes had mixed astigmatism. Fifty percent of eyes (n=7) experienced an improvement in post-operative UCVA as compared to pre-op BSCVA. Eleven eyes (78.6%) experienced an improvement in post-op BSCVA as compared to pre-op BSCVA (2 eyes > 2 lines; 8 eyes > 1 line). Two eyes (14.3%) were worsened by less than one line (2 to 3 letters). Conclusions: LASIK in eyes with a prior history of amblyopia can variably improve post-operative BSCVA compared to pre-op BSCVA in a relatively high percentage (78.6%) of patients and post-op UCVA compared to pre-op BSCVA in half the patients. In addition to reducing the dependence on spectacles, LASIK may be advantageous for select amblyopic eyes by improving BCVA.
This PDF is available to Subscribers Only