Laser in situ keratomileusis for children with myopic anisometropia

The purpose of the study was to evaluate the safety, efficacy, predictability and stability of laser in situ keratormileusis to correct high myopia or myopic astigmatism in patients with an isometropia, in whom convential therapies have failed Eleven] patients aged 7.5 to 12.5 years with myopic anisometropia and amblyopia had LASIK in the more myopic eye. Preoperative spherical equivalent ranged from -4.75 to - 12 D and spectacle corrected visual acuity ranged from 0.1 to 0.5 Minimum follow up was 12 months. One year after LASIK, the spherical equivalent refraction ranged from 0 to- 2.25D [mean-l.00]. The main regression of the refractive error occurred in the first 3 months after surgery, preoperative BCVA of 0.5 or better was present in 2 eyes [18%], and BCVA of 0.33 or better was present in 5 eyes [45%], one year after LASIK BCVA of 0.5 or better was present in 4 eyes [36%], and BCVA of 0.33 or better was present in 10 eyes [91%]. There were no significant complications LASIK was effective for correction of myopic anisometropia in this study, was safe and relatively predictable, and provided good visual results

Visual recovery after buckling surgery for macula - off retinal detachment

The purpopse of this work is to study the postoperative course of the recovery of macular function. The visual recovery after a scleral buckling surgery for primary rhegmatogenous retinal detachment involving the macula was investigated retrospectively. 52 patients with 52 eyes had been treated with a segmental, radial or encircling scleral buckle. The follow up period was for more than 5 years. All cases with a history of trauma, macular diseases, cataract and previous vitreoretinal surgery were excluded from the study. A better postoperative visual recovery was obtained in cases with better preoperative visual acuity, short duration of macular detachment and also cases of emmetropia or a low degree of myopia. The best corrected visual acuities were better at 5 years postoperatively than at 3 months by two lines or more in 22 eyes [42%]. Good preoperative visual acuity and short duration of macular detachment carries a better postoperative visual recovery. The visual function may continue to improve over the long-term