Strabismus correction with refractive surgery: a case report

Authors

  • Leopoldo Garduño Vieyra Ophthalmology Garduño Edif. Plaza Delta
  • Raúl Rúa Martínez Ophthalmology Garduño Edif. Plaza Delta
  • Raúl Macedo Cué Ophthalmology Garduño Edif. Plaza Delta
  • Bruno Flores Escobar https://orcid.org/0000-0002-1486-1237

DOI:

https://doi.org/10.31288/oftalmolzh202366971

Keywords:

strabismus, exotropia, PRK, refractive surgery

Abstract

Background. Refractive surgery is an alternative treatment for the correction of strabismus associated with ametropia in adults.
Purpose. To report a case of a young adult patient with exodeviation and uncorrected myopia in childhood who came to a consultation to improve her visual and aesthetic quality.
Material and Methods. Рreoperatively, the uncorrected visual acuity of 20/400 was presented in both eyes with compound myopic astigmatism that, with correction, improved to 20/30. In addition, in both eyes the patients presented exotropia of 40º that increased to 60º.
Results. Photorefractive keratectomy surgery was performed in both eyes, achieving an uncorrected visual acuity of 20/20, and orthotropia was maintained until the consultation six months after the operation.
Conclusion. Refractive surgery can be performed successfully in patients with accommodative or non-accommodative strabismus. Each patient must be studied to define whether or not they are suitable for this type of surgery.

References

Minnal VR, Rosenberg JB. Refractive surgery: a treatment for and a cause of strabismus. Current Opinion in Ophthalmology 2011,22:222-225. https://doi.org/10.1097/ICU.0b013e3283477c60

Kirwan C, O'Keefe M, O'Mullane GM, Sheehan C. Refractive surgery in patients with accommodative and non-accomodative strabismus: 1-year prospective follow-up. Br J Ophthalmol 2010;94:898e902. https://doi.org/10.1136/bjo.2009.162420

Astle WF, Papp A, Huang PT, Ingram A. Refractive laser surgery in children with coexisting medical and ocular pathology. Cataract Refract Surg 2006; 32:103-108. https://doi.org/10.1016/j.jcrs.2005.11.028

Paysse EA. Photorefractive keratectomy for anisometropic amblyopia in children. Trans Am Ophthalmol Soc 2004;102:341-372.

Fecarotta CM, Kim M, Wasserman BN. Refractive surgery in children. Current Opinion in Ophthalmology 2010,21:350-355. https://doi.org/10.1097/ICU.0b013e32833c5d19

Godts D, Trau R, Tassignon MJ. Effect of refractive surgery on binocular vision and ocular alignment in patients with manifest or intermittent strabismus. Br J Ophthalmol 2006;90:1410-1413. https://doi.org/10.1136/bjo.2006.090902

Published

2023-12-27

How to Cite

1.
Garduño Vieyra L, Rúa Martínez R, Macedo Cué R, Flores Escobar B. Strabismus correction with refractive surgery: a case report . J.ophthalmol. (Ukraine) [Internet]. 2023 Dec. 27 [cited 2024 Mar. 5];(6):69-71. Available from: https://ua.ozhurnal.com/index.php/files/article/view/107

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