Phototherapeutic keratectomy in children: 5-year results

Journal of Cataract and Refractive Surgery
Rudolf AutrataKristina Vodicková

Abstract

To evaluate the efficacy and safety of phototherapeutic keratectomy (PTK) for the treatment of superficial corneal opacities, surface irregularities, epithelial instability, and reepithelialization failure in pediatric patients and study the visual and refractive changes after combined PTK and photorefractive keratectomy (PRK). Department of Ophthalmology, Masaryk University Hospital, Brno, Czech Republic. This retrospective clinical study comprised children who had PTK or PTK combined with PRK from September 1996 to January 2000. The goals of treatment were to improve visual acuity and reduce or eliminate subjective ocular discomfort (eg, pain, lacrimation, and photophobia). A Nidek EC-5000 excimer laser was used in PTK mode with a 3.0 to 6.0 mm optical zone and a 4.0 to 7.5 mm transition zone. Forty-one pediatric patients (41 eyes) were included. Twenty-three eyes had PTK only, and 18 eyes had PTK combined with PRK to reduce preoperative myopia (11 eyes) or hyperopia (7 eyes). The mean patient age was 11.4 years (range 8 to 18 years) and the mean follow-up, 4.8 years (range 3 to 6 years). The best spectacle-corrected visual acuity (BSCVA) improved in all patients, and episodes of ocular pain or discomfort, lacrimation, and ph...Continue Reading

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Citations

Jul 14, 2010·Cornea·Varsha Madanlal RathiSomasheila I Murthy
Jan 6, 2012·Indian Journal of Ophthalmology·Varsha M RathiVirender S Sangwan
Feb 14, 2006·Journal of Cataract and Refractive Surgery·Abdul Kader M Mahfouz, Mohamed A Khalaf
Jun 12, 2019·Journal of Refractive Surgery·Siwei Zhou, Deepinder K Dhaliwal
Aug 19, 2006·Journal of Pediatric Ophthalmology and Strabismus·David B GranetErika Castro
May 20, 2019·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Radha RamEvelyn A Paysse

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