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June 8, 2009

Refractive Surgery for Special Needs Children

Author Affiliations

Author Affiliations: Departments of Ophthalmology and Visual Sciences, Pediatrics, Anatomy, and Neurobiology, St Louis Children's Hospital at Washington University Medical Center, St Louis, Missouri.




Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2009

Arch Ophthalmol. 2009;127(6):810-813. doi:10.1001/archophthalmol.2009.72

The time for refractive surgery in some children is now, not years from now. Why? Because for a few it is the only way out of blur-induced blindness, and for others, it is an effective way to augment treatment of amblyopia. I outline herein the compassionate-use, “off-label” application of refractive surgery to treat special subpopulations of ametropic children. A general strategy is explained, along with the benefits and risks associated with adapting adult techniques for use in pediatric eyes.

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