Abstract
Abstract: :
Purpose: To report three cases of accommodative esotropia treated with laser in situ keratomileusis (LASIK). Methods: First case: A twenty-three years-old male presented with history of strabismus since two years of age. Best-corrected visual acuity was 20/20- OD and 20/20 OS. Cycloplegic refraction was +4.50 +0.25 120 OD and +4.25 +0.50 102 OS. There was an esotropia of 25 prism diopters present at distance and near, that decreased to 8 prism diopters at distance and 12 prism diopters at near with contact lenses. Second case: A thirteen years-old female presented with history of strabismus since two years of age. Best-corrected visual acuity was 20/20- OD and 20/30+ OS. Cycloplegic refraction was +3.50 +1.50 50 OD, +3.50 +0.50 125 OS. There was an esotropia of 35 prism diopters present at distance and 45 prism diopters at near, corrected with glasses to esophoria of 10 prism diopters for distance and 20 prism diopters for near. Third case: A twenty-seven years-old female presented with history of strabismus since infancy. Uncorrected visual acuity was 20/20 in each eye. Cycloplegic refraction was +3.00 in each eye. There was an intermittent esotropia of 16 prism diopters present at distance that increased to 35 prism diopters at near, fully corrected with contact lenses. All patients underwent bilateral LASIK for treatment of accommodative esotropia. Results: First case: Twenty-four months postoperatively, uncorrected visual acuity was 20/20- OD and 20/20 OS. There was an esophoria of 6 prism diopters present at distance that increased to 8 prism diopters at near, without symptoms. Second case: Eighteen months postoperatively, uncorrected visual acuity was 20/20- OD and 20/30 OS. There was an esophoria of 10 prism diopters present at distance that increased to 20 prism diopters at near. She was asymptomatic. Third case: Six months postoperatively, uncorrected visual acuity was 20/20 in both eyes. There was an intermittent esotropia of 6 prism diopters present at distance that increased to 10 prism diopters at near, without symptoms. Conclusions: LASIK may be a useful treatment for accommodative esotropia.
Keywords: strabismus: treatment • esotropia and exotropia • refractive surgery: LASIK