Laser in situ keratomileusis for the treatment of refractive accommodative esotropia.

Abstract

To demonstrate the effectiveness of refractive surgery with an excimer laser to correct hyperopia and convergent strabismus caused by compensatory accommodation of refractive error. Prospective, interventional, noncomparative case series. Forty-six eyes of 23 patients with hyperopia and fully or partially refractive accommodative esotropia. Patients were treated with an excimer laser and the LASIK technique between 2000 and 2010. Preoperative and postoperative refractive spherical equivalent and ocular alignment. Mean age ± standard deviation [SD] was 25 ± 12.6 years. Mean hyperopia ± SD was 3.67 ± 1.28 diopters (D) before surgery and 0.21 ± 0.59 D after surgery (P<0.001). The mean angle of deviation without correction was 21.0 prism diopters (Δ) before surgery and 3.7 Δ after surgery (P<0.001). Refractive surgery with excimer laser is a promising option for the treatment of refractive accommodative esotropia. The author(s) have no proprietary or commercial interest in any materials discussed in this article.