Is refractive surgery an appropriate treatment for some pediatric eye disorders? Proponents believe it is useful in the management of anisometropic amblyopia and bilateral high ametropia. Noncompliance with standard optical correction by glasses or contact lenses is the customary indication in the peer-reviewed literature. Authors argue that surgical treatment is better for the child than continued unsuccessful efforts at conventional optical management or discontinuation of therapy. Refractive surgery in pediatric patients functions as optical correction that cannot be removed at will, lost, or broken.
Brown SM. Pediatric Refractive Surgery. Arch Ophthalmol. 2009;127(6):807-809. doi:10.1001/archophthalmol.2009.78