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.
Tychsen L. Refractive Surgery for Special Needs Children. Arch Ophthalmol. 2009;127(6):810-813. doi:10.1001/archophthalmol.2009.72