There is a trend towards recommending refractive surgery for young patients with high degrees of progressive myopia. Although many can benefit from certain procedures, staphylomatous eyes present unique impediments to normal visual acuity, visual field, binocularity and stereopsis. They are also prone to premature cataract formation, glaucoma and retinal detachment. An initially good result can be destroyed by continued scleral expansion with posterior retinal degeneration. A review of these limitations should be included in discussions with patients considering refractive surgery.
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