Abstract • The conclusions after the review of 25 eyes six months following radial keratotomy are as follows: (1) The improvement in uncorrected visual acuity is dependent on multiple variables that substantially alter the results achieved. The degree to which each of these variables influences the outcome has yet to be determined; however, radial keratotomy does reduce myopia. (2) The time required for stabilization of the corneal curvature was about three months, although gradual reduction in the correction achieved occurred in a few cases between three and six months. (3) Postoperative glare at night and/or fluctuating vision was an important complaint in over one third of the patients. (4) Proper patient selection and informed consent are essential. The possibility of getting rid of glasses is not likely except for the patient with less than 3 to 4 diopters of myopia. Most patients who underwent the procedure were pleased with the improvement in unaided visual acuity, although it may have been less than they expected. References 1. Bores LD: American experience with myopia procedures of Fyodorov , in Schacher RA, Levy NS, Schacher L (eds): Keratorefraction . Denison, Tex, LAL Publishing, 1980, pp 175-181. 2. Fyodorov SN, Durvev VV: Operation of dosaged dissection of corneal circular ligament in cases of myopia of mild degree . Ann Ophthalmol 1979;11:1885-1889. 3. Fyodorov SN: Surgical correction of myopia and astigmatism , in Schacher RA, Levy NS, Schacher L (eds): Keratorefraction . Denison, Tex, LAL Publishing, 1980, pp 141-172. 4. Fyodorov SN, Durvev VV: Surgical correction of complicated myopia astigmatism by means of dissection of circular ligament of cornea . Ann Ophthalmol 1981;13:115-118.
Archives of Ophthalmology – American Medical Association
Published: Apr 1, 1982