Pediatric refractive surgery: corneal and intraocular techniques and beyond

J AAPOS. 2012 Jun;16(3):291-7. doi: 10.1016/j.jaapos.2012.01.012.


Refractive surgery has now been used successfully to treat severe anisometropia and isoametropia associated with amblyopia in children who cannot wear standard spectacles or contact lenses. Extraocular techniques include photorefractive keratectomy, laser-assisted subepithelial keratomileusis, and laser-assisted in situ keratomileusis. Intraocular techniques include refractive lensectomy and phakic intraocular lenses and are still being investigated in children for refractive errors outside the treatment dose capabilities of the excimer laser. This workshop discusses the various techniques, how and when to use each, and their risks and benefits. Newer techniques currently being used in adults that may someday be used in children are also introduced.

MeSH terms

  • Amblyopia / complications
  • Anisometropia / etiology
  • Anisometropia / surgery*
  • Child, Preschool
  • Corneal Surgery, Laser*
  • Humans
  • Infant
  • Lens Implantation, Intraocular*
  • Phakic Intraocular Lenses
  • Refractive Surgical Procedures*