PURPOSE: To assess the long-term effectiveness and safety of refractive surgery with LASIK or photorefrac-tive keratectomy (PRK) for treating accommodative esotropia in adults.METHODS: All patients with accommodative esotropia treated with LASIK or PRK until December 2007 and with a minimum follow-up of 5 years were retrospectively included.RESULTS: LASIK was performed on 44 eyes of 22 patients (12 women, 10 men; mean age: 22.7 +- 2.9 years). Mean postoperative follow-up was 62.1 +- 3.2 months. PRK was performed on 16 eyes of 8 patients (4 women, 4 men; mean age: 23.7 +-1.7 years). Mean postoperative follow-up was 61.3 +- 2.8 months. At the 5-year follow-up, the mean cycloplegic refraction was more hyperopic in the PRK group (0.3 +- 0.8 vs 0.06 +- 0.3 diopters, P = .01). Correction of esotropia to esophoria or orthotropia was present in 21 patients (95.4%) treated with LASIK and in all patients treated with PRK.CONCLUSIONS: Both LASIK and PRK were effective in the long-term reduction of accommodative esotropia.
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机译：目的：评估LASIK或光反射性角膜切削术（PRK）进行屈光手术治疗成人适应性内斜视的长期有效性和安全性方法：所有LASIK或PRK适应性内斜视的患者，直至2007年12月，且最低结果：回顾性地包括5年的随访。结果：对22例患者（12名女性，10名男性;平均年龄：22.7±2.9岁）的44眼进行了LASIK手术。术后平均随访时间为62.1±3.2个月。对8例患者（4名女性，4名男性;平均年龄：23.7±1.7岁）的16只眼进行PRK。术后平均随访时间为61.3±2.8个月。在5年的随访中，PRK组的平均散瞳屈光度较远视（0.3 +-0.8 vs 0.06 +-0.3屈光度，P = 0.01）。 LASIK治疗的21例患者（95.4％）和所有PRK治疗的患者均存在内斜视向内斜视或矫正视的校正。
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