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Author Notes:

Corresponding Author: Amy K. Hutchinson, MD, Associate Professor of Ophthalmology, Emory University School of Medicine, amy.hutchinson@emory.edu, Phone: 404-778-4417, Fax: 404-778-5203


Research Funding:

National Eye Institute : NEI

Supported in part by an unrestricted grant to the Emory Eye Center from Research to Prevent Blindness, Inc., New York, New York.


  • hyperopia
  • accommodative esotropia
  • refractive surgery
  • photorefractive keratectomy

Photorefractive Keratectomy for the Treatment of Purely Refractive Accommodative Esotropia: Six Year Experience


Journal Title:

British Journal of Ophthalmology


Volume 94, Number 2


, Pages 236-240

Type of Work:

Article | Post-print: After Peer Review


Background/aims To report the long term outcomes of photorefractive keratectomy (PRK) for the treatment of hyperopia associated with purely refractive accommodative esotropia. Methods Retrospective chart review of 40 patients age 17–39 who underwent PRK to eliminate their dependence on glasses. Pre and post-operative best spectacle corrected visual acuity (BSCVA), uncorrected visual acuity (UCVA), refractive spherical equivalent (SEQ), ocular alignment, and stereoacuity were reviewed. Results Forty patients (80 eyes) with mean age 27.9 years were treated for a mean pre-operative SEQ of +3.06D hyperopia. The mean final post-operative SEQ was +0.06. Pre-operative BSCVA was 0.04 logMAR, and did not change post-operatively. Mean UCVA significantly improved from 0.30 logMAR preoperatively to 0.08 logMAR post-operatively. Mean pre-operative esotropia at distance and near was 18.6 PD. All patients were orthophoric without correction at the one month, one year, and final post-operative evaluations. Visual acuity, refractive error and alignment remained stable after the one year post-operative examination. Stereoacuity was unchanged in 80% of patients postoperatively. There were no complications. Conclusion PRK can be used to treat low to moderate hyperopia associated with purely refractive accommodative esotropia in young adults.

Copyright information:

© 2010, British Medical Journal Publishing Group

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