Session: Poster session C

Refractive surgery and strabismus

 Objective:  To propose refractive surgery as a complementary treatment to improve the degree of strabismus deviation, sensory status and functional capacity related to vision. At the same time, review what factors must be taken into account before being operated on refractive surgery to avoid subsequent complications related to binocular vision.

Method: The medical records of strabismic patients over 18 years of age before and after refractive surgery (Lasik or intraocular lens placement (IOL) with or without cataract extraction were reviewed. Data related to age, sex, type of surgery, degree and type of strabismus, stereopsis, videoculography for the study of ocular motility and results of the VF14 questionnaire for the evaluation of visual function were collected.

Results: Improvement was found in deviation, stereopsis and visual functional capacity.

Conclusion: Refractive surgery can be considered as one of the treatment options in strabismic patients. We do not recommend monovision or multifocal intraocular lenses in patients with strabismus due to their dissociative condition.