I.L. KULIKOVA¹, N.P. PASHTAEV^1-3, N.V. CHAPURIN¹

¹Cheboksary branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 10 Traktorostroiteley Pr., Cheboksary, Russian Federation, 428028

²Postgraduate Medical Institute, 3 Krasnaya Ploshchad’, Cheboksary, Russian Federation, 428032

³Chuvash State University named after I.N. Ulyanov, 15 Moskovskiy Pr., Cheboksary, Russian Federation, 428015

 Kulikova I.L. ― D. Med. Sc., Deputy Director for Medical Work, tel. (8352) 36-91-53, e-mail: koulikova@mail.ru

Pashtayev N.P. ― D. Med. Sc., Professor, Director of Cheboksary branch of the S. Fyodorov Eye Microsurgery Federal State Institution, Head of the course in Ophthalmology of Postgraduate Medical Institute of the Chuvash Republic, Head of the Department of Ophthalmology and Otolaryngology of Chuvash State University, tel. (8352) 36-46-88, e-mail: prmntk@chtts.ru

Chapurin N.V. ― ophthalmologist of the Children’s Department, e-mail: night_elf88@bk.ru

 The article presents an analysis of the change of mean spherical equivalent of refraction, uncorrected (UCVA) and maximally corrected (CDVA) visual acuities in 31 children during 6 months ― 1.5 years (mean 9±2.8 month) after surgery and subsequent conservative treatment of amblyopia. All patients underwent FS-LASIK on amblyopic eye; 500 Hz «Microscan» (Troitsk, Russia) eximer laser and 1 MHz «FemtoVisum» (Troitsk, Russia) femtosecond laser were used. Before surgery uncorrected visual acuity (UCVA) was 0.07±0.03, maximal correction (CDVA) was 0.13±0.1. Mean spherical equivalent refraction (SE) of amblyopic eye was +4.34±2.61 D, mean anisometropia was 4.31±1.56 D. Refraction data of the fellow eye were close to emmetropy. In 9 months after FS-LASIK, the mean SE was +1.02±0.28 D (p=0.00), anisometropia ― 0.58±0.34 D (p=0.00), CDVA 0.2±0.04 (p=0.00), UCVA 0.16±0,1 (p=0.00). Predictability of the planned (in order to lessen anisometropia) refractive effect was within ±0.5 D and ±1.0D in 56% and 64% of cases respectively. In 50% of cases CVA increased 1-2 lines. FS-LASIK in children with hyperopia and anisometropia with the Russian-made 1MHz «FemtoVisum» femtosecond laser use proved to be safe and effective.

Key words: refractive surgery in children, anisometropia, amblyopia, femtosecond laser.

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