Developmental Improvement in Children With Intellectual Disability After Photorefractive Keratectomy for Severe Isoametropia
Section snippets
Material and Methods
This prospective, noncomparative interventional case series assessed the change in the developmental quotient (DQ) of children with intellectual disability, significant isoametropia, and subnormal uncorrected vision who were unable or unwilling to use refractive correction with either contact lenses or glasses and who underwent PRK to improve their refractive error. The DQ is the ratio of the subject's developmental age divided by the subject's chronological age in months × 100. This study was
Results
A total of 16 children were included (7 females, 9 males), with ages ranging from 2 to 8 years old (mean, 5.4 ± 1.3 years). The individual and summarized demographic and ophthalmologic characteristics of the subjects are listed in Tables 1 and 2.
Discussion
This study is the first, to our knowledge, that has objectively evaluated the change in developmental abilities in refractive correction-intolerant children with severe intellectual disability and high isoametropia after PRK over a 3-year period. All of the children had plateaued in their development for at least 18 months before the PRK, which means that their DQs were decreasing up to the time of the PRK. It has previously been shown that PRK and LASEK result in a decrease in the refractive
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Cited by (3)
Impact of Ocular Conditions and Improvements After Refractive Surgery in Quality of Life for Children With Neurodevelopmental Disorders
2023, American Journal of OphthalmologyCitation Excerpt :The PedEyeQ in the current study demonstrated that eye disorders have an impact on the quality of life of children with neurodevelopmental disorders, even in the presence of significant deficiencies in social and adaptive behaviors. Prior studies have also demonstrated that refractive surgery achieves target refraction in most children and can even improve the developmental trajectory of children with intellectual disability and high isoametropia.23,24,36-38 Whether these improvements translated into quality of life benefits appreciable to children and their families, however, was unknown.
IMI—Management and Investigation of High Myopia in Infants and Young Children
2023, Investigative Ophthalmology and Visual ScienceVisual Autism
2023, Children
Supplemental Material available at AJO.com.
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Dr Catherine Achim is now practicing at Centre Hospitalier Universitaire de Quebec – CHUL, 2705 boul Laurier, Quebec QC GIV 4G2, Canada. Dr Bryan Whitlow is now practicing at University of North Carolina, Department of Anesthesiology, UNC Hospitals, CB# 7010, Chapel Hill, North Carolina 27599-7010.