Consecutive Exotropia after LASIK in a Patient with Accommodative Esotropia

Purpose: To report consecutive exotropia after hyperopic laser in situ keratomileusis(LASIK) in a patient with accommodative esotropia.Methods: A 22-year-old female patient with hyperopia and mild to moderate amblyopiain her right eye was referred for accommodative esotropia. She had undergone rightmedial rectus recession 4 years ago. Examination revealed right esotropia of 25 and 6prism diopters (PD) without and with correction, respectively. She underwent LASIK inboth eyes to correct the refractive accommodative esotropia. Eight months after LASIK,her refraction was plano-0.75@160 and +0.5-0.75@180 in the right and left eyesrespectively, but she developed right exotropia of 20 PD without correction.Conclusions: Although hyperopic LASIK may be considered as an alternative treatmentfor refractive accommodative esotropia, the presence of amblyopia and absence offusion preoperatively increase the risk of postoperative exotropia.