In this presentation from Pediatric Ophthalmology Subspecialty Day 2022, Dr. Evelyn Paysse discusses why refractive surgery is a reasonable treatment for severe refractive error in children with amblyopia who do not respond to standard therapy. Topics include the following:

• diagnoses to consider for pediatric refractive surgery
• types of refractive surgery
• isoametropia associated with amblyopia
• corneal status long term after pediatric photorefractive keratectomy
• refractive procedures for ultrahigh refractive error

She concludes that surgery results in improvements in refractive error, vision, stereopsis, communication skills, socialization, and activities of daily living.