This study aims to evaluate and to compare three different approaches of cataract surgery to patients with previous radial keratotomy(RK), and to analyze the mechanical properties of the cornea after cataract surger...This study aims to evaluate and to compare three different approaches of cataract surgery to patients with previous radial keratotomy(RK), and to analyze the mechanical properties of the cornea after cataract surgery. Three groups of patients, each one including 8 eyes of patients with 16 RK incisions. The first group includes eyes with the first cataract incision superiorly, the second group in the temporal area, the third group in temporal area and a precautionary stabilizing suture across the RK incision adjacent to the main tunnel. In the first group intraoperative dehiscence occurred in three eyes(37.5%): it required immediate application of a suture. In the second group dehiscence occurred intraoperatively in two radial scars(20%): it required immediate application of a suture. In the third group, no intraoperative dehiscences were observed. The stabilizing suture of the RK incision works safer, with a lower risk of dehiscences and less postoperative astigmatism.展开更多
1 900 consecutive eyes that underwent radial keratotomy by the senior author were evaluated retrospectively. 3 months after surgery, minimum reduction in mean spherical equivalent of 0. 67D was achieved with 1 incisio...1 900 consecutive eyes that underwent radial keratotomy by the senior author were evaluated retrospectively. 3 months after surgery, minimum reduction in mean spherical equivalent of 0. 67D was achieved with 1 incision and maximum 7. 250 with 24 incisions. Unconnected visual acuity of 20/40 or better was obtained in 99. 4% of eyes with low myopia, 64. 2% with moderate myopia and 32. 4% with high myopia. For anisometropia, bilateral RK reduced refractive error from -12. 12D to -5. 22D in more myopic eyes...展开更多
During the period from 1980 to 1991,Radial Keratotomy(RK)hadbeen done by the author under topical anesthesia in more than 10000 cases,mostly on both eyes at the same time.Those patients had myopia with apreoperative r...During the period from 1980 to 1991,Radial Keratotomy(RK)hadbeen done by the author under topical anesthesia in more than 10000 cases,mostly on both eyes at the same time.Those patients had myopia with apreoperative refractive error between 1.5 and 20.0 diopters(D).The surgicaltechnique consisted of 4,8,16 incisions using a diamond knife with micrometerand the diameter of the central clear zone was mostly 3.0mm and determinedby preoperative refractive error.Many different procedures were tried to im-pro...展开更多
This paper sums up the indications and patients selection for Radial Keratotomy, including necessary presurgery examination, the age for surgery in myopia and predictability. It benefits the recognization for developi...This paper sums up the indications and patients selection for Radial Keratotomy, including necessary presurgery examination, the age for surgery in myopia and predictability. It benefits the recognization for developing this surgery.展开更多
文摘This study aims to evaluate and to compare three different approaches of cataract surgery to patients with previous radial keratotomy(RK), and to analyze the mechanical properties of the cornea after cataract surgery. Three groups of patients, each one including 8 eyes of patients with 16 RK incisions. The first group includes eyes with the first cataract incision superiorly, the second group in the temporal area, the third group in temporal area and a precautionary stabilizing suture across the RK incision adjacent to the main tunnel. In the first group intraoperative dehiscence occurred in three eyes(37.5%): it required immediate application of a suture. In the second group dehiscence occurred intraoperatively in two radial scars(20%): it required immediate application of a suture. In the third group, no intraoperative dehiscences were observed. The stabilizing suture of the RK incision works safer, with a lower risk of dehiscences and less postoperative astigmatism.
文摘1 900 consecutive eyes that underwent radial keratotomy by the senior author were evaluated retrospectively. 3 months after surgery, minimum reduction in mean spherical equivalent of 0. 67D was achieved with 1 incision and maximum 7. 250 with 24 incisions. Unconnected visual acuity of 20/40 or better was obtained in 99. 4% of eyes with low myopia, 64. 2% with moderate myopia and 32. 4% with high myopia. For anisometropia, bilateral RK reduced refractive error from -12. 12D to -5. 22D in more myopic eyes...
文摘During the period from 1980 to 1991,Radial Keratotomy(RK)hadbeen done by the author under topical anesthesia in more than 10000 cases,mostly on both eyes at the same time.Those patients had myopia with apreoperative refractive error between 1.5 and 20.0 diopters(D).The surgicaltechnique consisted of 4,8,16 incisions using a diamond knife with micrometerand the diameter of the central clear zone was mostly 3.0mm and determinedby preoperative refractive error.Many different procedures were tried to im-pro...
文摘This paper sums up the indications and patients selection for Radial Keratotomy, including necessary presurgery examination, the age for surgery in myopia and predictability. It benefits the recognization for developing this surgery.