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Two-Year Results of Reoperations for Radial Keratotomy

Two-Year Results of Reoperations for Radial Keratotomy Abstract • This study compared the two-year results of 320 radial keratotomy surgeries that did not result in reoperations with those of 67 cases that had reoperations. Follow-up was 76% for cases not reoperated and 79% for reoperated cases. Eyes that had reoperations averaged 2.2 diopters more initial myopia than eyes that did not have reoperations, and they averaged 43% myopia correction in the first surgery vs 84% for eyes that did not require reoperations; the reoperation corrected an additional 47% of residual myopia, for an overall 70% correction of myopia in the two surgeries. These results indicated that twice the desired effect of correction should be attempted in a reoperation to achieve the desired result. References 1. Sawelson H, Marks RG: Five-year results of radial keratotomy . Ophthalmology 1986;93( (suppl) ):94. 2. Sawelson H, Marks RG: Three-year results of radial keratotomy . Arch Ophthalmol 1987;105:81-85.Crossref 3. Sawelson H, Marks RG: Two-year results of radial keratotomy . Arch Ophthalmol 1985;103:505-510.Crossref 4. Arrowsmith PN, Marks RG: Visual, refractive, and keratometric results of radial keratotomy: Two-year follow-up . Arch Ophthalmol 1987;105:76-80.Crossref 5. Arrowsmith PN, Marks RG: Visual, refractive, and keratometric results of radial keratotomy: One-year follow-up . Arch Ophthalmol 1984;102:1612-1617.Crossref 6. Arrowsmith PN, Sanders DR, Marks RG: Visual, refractive, and keratometric results of radial keratotomy . Arch Ophthalmol 1983;101:873-881.Crossref 7. Arrowsmith PN, Marks RG: Evaluating the predictability of radial keratotomy . Ophthalmology 1985;92:331-338.Crossref 8. Arrowsmith PN, Marks RG: How predictable is radial keratotomy? Cataract 1986;3:7-14. 9. Deitz MR, Sanders DR, Marks RG: Radial keratotomy: An overview of the Kansas City study . Ophthalmology 1984;91:467-477.Crossref 10. Sanders DR, Deitz MR, Gallagher D: Factors affecting predictability of radial keratotomy . Ophthalmology 1985;92:1237-1243.Crossref 11. Waring GO, Lynn MJ, Gelender H, et al: Results of the prospective evaluation of radial keratotomy (PERK) study one year after surgery . Ophthalmology 1985;92:177-198.Crossref 12. Lynn MJ, Waring GO, Sperduto RD, et al: Factors affecting outcome and predictability of radial keratotomy in the PERK study . Arch Ophthalmol 1987;105:42-51.Crossref 13. Kremer FB, Marks RG: Radial keratotomy: Prospective evaluation of safety and efficacy . Ophthalmic Surg 1983;14:925-930. 14. Neumann AC, Osher RH, Fenzl RE: Radial keratotomy: A comprehensive evaluation . Doc Ophthalmol 1984;56:275-301.Crossref 15. Hoffer KJ, Darin JJ, Pettit TH, et al: UCLA clinical trial of radial keratotomy: Preliminary report . Ophthalmology 1981;88:729-736.Crossref 16. Hoffer KJ, Darin JJ, Pettit TH, et al: Three years experience with radial keratotomy: The UCLA study . Ophthalmology 1983;90:627-636.Crossref 17. Deitz MR, Sanders DR: Progressive hyperopia with long-term follow-up of radial keratotomy . Arch Ophthalmol 1985;103:782-784.Crossref 18. Deitz MR, Sanders DR, Raanan MG: Progressive hyperopia in radial keratotomy: Long-term follow-up of diamond-knife and metal-blade series . Ophthalmology 1986;93:1284-1288.Crossref 19. Schanzlin DJ, Santos VR, Waring GO, et al: Diurnal change in refraction, corneal curvature, visual acuity, and intraocular pressure after radial keratotomy in the PERK study . Ophthalmology 1986;93:167-175.Crossref 20. O'Day DM, Feman SS, Elliott JH: Visual impairment following radial keratotomy: A cluster of cases . Ophthalmology 1986;93:319-326.Crossref 21. Powers MK, Meyerowitz BE, Arrowsmith PN, et al: Psychosocial findings in radial keratotomy patients two years after surgery . Ophthalmology 1984;91:1193-1198.Crossref 22. Borque LB, Rubenstein R, Cosand B, et al: Psychosocial characteristics of candidates for the Prospective Evaluation of Radial Keratotomy (PERK) study . Arch Ophthalmol 1984;102:1187-1192.Crossref 23. Goldstein J, Hecht SD: Minnesota Multiphasic Personality Inventory: Comparison of patients accepting and rejecting myopia surgery . Ann Ophthalmol 1985;17:437-439. 24. Fyodorov SN, Sarkizova MB, Kurasova TP: Corneal biomicroscopy following repeated radial keratotomy . Ann Ophthalmol 1983;15:403-407. 25. Cowden JW, Lynn MJ, Waring GO: Repeated radial keratotomy in the Prospective Evaluation of Radial Keratotomy study . Am J Ophthalmol 1987;103:423-431. 26. Hofmann RF: Reoperations after radial and astigmatic keratotomy . J Refractive Surg 1987;3:119-128. 27. Chen T, Yu-sung L, Tsai J, et al: Surgical results of second-attempt radial keratotomy . Ann Ophthalmol 1985;17:618-620. 28. Franks S: Radial keratotomy undercorrections: A new approach . J Refractive Surg 1986;2:171-173. 29. Villasenor R, Cox K: Radial keratotomy: Reoperations . J Refractive Surg 1985;1:34. 30. Cowden JW, Weber B: Repeat radial keratotomy in monkeys . Ophthalmology 1983;90:251-256.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Two-Year Results of Reoperations for Radial Keratotomy

Sawelson, Harold; Marks, Ronald G.
Archives of Ophthalmology , Volume 106 (4) – Apr 1, 1988
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References (29)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060130543032
Publisher site
See Article on Publisher Site

Abstract

Abstract • This study compared the two-year results of 320 radial keratotomy surgeries that did not result in reoperations with those of 67 cases that had reoperations. Follow-up was 76% for cases not reoperated and 79% for reoperated cases. Eyes that had reoperations averaged 2.2 diopters more initial myopia than eyes that did not have reoperations, and they averaged 43% myopia correction in the first surgery vs 84% for eyes that did not require reoperations; the reoperation corrected an additional 47% of residual myopia, for an overall 70% correction of myopia in the two surgeries. These results indicated that twice the desired effect of correction should be attempted in a reoperation to achieve the desired result. References 1. Sawelson H, Marks RG: Five-year results of radial keratotomy . Ophthalmology 1986;93( (suppl) ):94. 2. Sawelson H, Marks RG: Three-year results of radial keratotomy . Arch Ophthalmol 1987;105:81-85.Crossref 3. Sawelson H, Marks RG: Two-year results of radial keratotomy . Arch Ophthalmol 1985;103:505-510.Crossref 4. Arrowsmith PN, Marks RG: Visual, refractive, and keratometric results of radial keratotomy: Two-year follow-up . Arch Ophthalmol 1987;105:76-80.Crossref 5. Arrowsmith PN, Marks RG: Visual, refractive, and keratometric results of radial keratotomy: One-year follow-up . Arch Ophthalmol 1984;102:1612-1617.Crossref 6. Arrowsmith PN, Sanders DR, Marks RG: Visual, refractive, and keratometric results of radial keratotomy . Arch Ophthalmol 1983;101:873-881.Crossref 7. Arrowsmith PN, Marks RG: Evaluating the predictability of radial keratotomy . Ophthalmology 1985;92:331-338.Crossref 8. Arrowsmith PN, Marks RG: How predictable is radial keratotomy? Cataract 1986;3:7-14. 9. Deitz MR, Sanders DR, Marks RG: Radial keratotomy: An overview of the Kansas City study . Ophthalmology 1984;91:467-477.Crossref 10. Sanders DR, Deitz MR, Gallagher D: Factors affecting predictability of radial keratotomy . Ophthalmology 1985;92:1237-1243.Crossref 11. Waring GO, Lynn MJ, Gelender H, et al: Results of the prospective evaluation of radial keratotomy (PERK) study one year after surgery . Ophthalmology 1985;92:177-198.Crossref 12. Lynn MJ, Waring GO, Sperduto RD, et al: Factors affecting outcome and predictability of radial keratotomy in the PERK study . Arch Ophthalmol 1987;105:42-51.Crossref 13. Kremer FB, Marks RG: Radial keratotomy: Prospective evaluation of safety and efficacy . Ophthalmic Surg 1983;14:925-930. 14. Neumann AC, Osher RH, Fenzl RE: Radial keratotomy: A comprehensive evaluation . Doc Ophthalmol 1984;56:275-301.Crossref 15. Hoffer KJ, Darin JJ, Pettit TH, et al: UCLA clinical trial of radial keratotomy: Preliminary report . Ophthalmology 1981;88:729-736.Crossref 16. Hoffer KJ, Darin JJ, Pettit TH, et al: Three years experience with radial keratotomy: The UCLA study . Ophthalmology 1983;90:627-636.Crossref 17. Deitz MR, Sanders DR: Progressive hyperopia with long-term follow-up of radial keratotomy . Arch Ophthalmol 1985;103:782-784.Crossref 18. Deitz MR, Sanders DR, Raanan MG: Progressive hyperopia in radial keratotomy: Long-term follow-up of diamond-knife and metal-blade series . Ophthalmology 1986;93:1284-1288.Crossref 19. Schanzlin DJ, Santos VR, Waring GO, et al: Diurnal change in refraction, corneal curvature, visual acuity, and intraocular pressure after radial keratotomy in the PERK study . Ophthalmology 1986;93:167-175.Crossref 20. O'Day DM, Feman SS, Elliott JH: Visual impairment following radial keratotomy: A cluster of cases . Ophthalmology 1986;93:319-326.Crossref 21. Powers MK, Meyerowitz BE, Arrowsmith PN, et al: Psychosocial findings in radial keratotomy patients two years after surgery . Ophthalmology 1984;91:1193-1198.Crossref 22. Borque LB, Rubenstein R, Cosand B, et al: Psychosocial characteristics of candidates for the Prospective Evaluation of Radial Keratotomy (PERK) study . Arch Ophthalmol 1984;102:1187-1192.Crossref 23. Goldstein J, Hecht SD: Minnesota Multiphasic Personality Inventory: Comparison of patients accepting and rejecting myopia surgery . Ann Ophthalmol 1985;17:437-439. 24. Fyodorov SN, Sarkizova MB, Kurasova TP: Corneal biomicroscopy following repeated radial keratotomy . Ann Ophthalmol 1983;15:403-407. 25. Cowden JW, Lynn MJ, Waring GO: Repeated radial keratotomy in the Prospective Evaluation of Radial Keratotomy study . Am J Ophthalmol 1987;103:423-431. 26. Hofmann RF: Reoperations after radial and astigmatic keratotomy . J Refractive Surg 1987;3:119-128. 27. Chen T, Yu-sung L, Tsai J, et al: Surgical results of second-attempt radial keratotomy . Ann Ophthalmol 1985;17:618-620. 28. Franks S: Radial keratotomy undercorrections: A new approach . J Refractive Surg 1986;2:171-173. 29. Villasenor R, Cox K: Radial keratotomy: Reoperations . J Refractive Surg 1985;1:34. 30. Cowden JW, Weber B: Repeat radial keratotomy in monkeys . Ophthalmology 1983;90:251-256.Crossref

Journal

Archives of Ophthalmology – American Medical Association

Published: Apr 1, 1988

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