ABSTRACT
At first glance, the concept of pediatric refractive surgery seems quite aggressive and radical. However, when used as a therapeutic modality in children that have no other option to restore vision, pediatric LASIK may have a useful role. Several studies have reported on the use of LASIK in the treatment of anisomyopic amblyopia in children.1-5 It is well known that uncorrected unilateral high myopia results in amblyopia in the pediatric age group.6 Current standard therapy can be successful if there is early detection and compliant treatment with spectacles or contact lens combined with occlusion therapy.7-9 However, some children are not successfully treated using these techniques. Difficulty with compliance is a common cause for failure10 and can be secondary to psychological resistance to patching or heavy and unbalanced myopic glasses that are easily removed.11 In addition, optical problems due to aniseikonia with contact lenses and spectacles12 and induced prism anisophoria with spectacles contribute to dissimilar binocular imagery and may further promote the development of amblyopia and abnormal binocular integration.
