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Controversies
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.

 

LEE M.JAMPOLMD

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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