Correction of ametropia in children is a challenge to pediatricophthalmologists, particularly in children with behavioral disorders. Asubpopulation of children with bilateral high myopia, anisometropia,accommodative esotropia and neurobehavioral disorders have difficultieswearing spectacles and are ill suited to correction using contact lenses.The markedly blurred images in these children cause profoundly lowfunctional vision. The visual impairment tends to exacerbate thebehavioral disorder by impeding visual attention, interaction with objectsand persons, and motor skills (a constellation of findings is labeled"visual autism"). Excimer laser correction of high errors of refraction inchildren is a recent innovation, with results to date indicating that themethodology is safe and effective. (Tychsen et al, 2005)Over the past two decades, refractive surgery has expanded toinclude PRK, LASIK and phakic IOLs. With these new techniques, therange of treatable refractive errors has expanded to include higher degreesof myopia, hyperopia, and astigmatism. The type and degree of refractiveerror may determine the type of refractive surgery that is mostappropriate e.g. for low myopia several options available (e.g. PRK andLASIK), for high myopia e.g., (LASIK and phakic IOLs), AK forastigmatism, while PRK, LASIK, and phakic IOLs, for hyperopia. (Nucciand Drack 2001)