It has been known for almost a century that radial keratotomy (RK) will flatten the cornea and reduce myopia. Since the introduction of radial keratotomy (RK) in the United States by Bores in 1978, there have been man...It has been known for almost a century that radial keratotomy (RK) will flatten the cornea and reduce myopia. Since the introduction of radial keratotomy (RK) in the United States by Bores in 1978, there have been many published studies documenting the effects of this procedure. The questions. about radial keratotomy today are not only quantitative but also qualitative in nature. We know this technique can flatten the cornea, but how reliably can the results be predicted? Does the patient benefit suffic...展开更多
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
Background Corneal curvatures measured by conventional instruments after refractive surgeries were greater than the real values. This study on the instruments and methods for measuring corneal curvature was carried ou...Background Corneal curvatures measured by conventional instruments after refractive surgeries were greater than the real values. This study on the instruments and methods for measuring corneal curvature was carried out with the aim of determining an accurate, simple and effective method to evaluate corneal refractive power after radial keratotomy （RK）. Methods A retrospective study was carried out on 52 eyes of 42 patients with a history of RK. The postoperative measurements after RK were performed with a manual keratometer （Rodenstock, Munchen-Hamburg, Germany）, a corneal topographer （Tomey TMS-1） and an automated IOLMaster keratometer （Carl Zeiss GmbH, USA）. The results obtained from analyzing clinical histories （clinical history method, CHM） were compared to the postoperative measurements with a two-way analysis of variance. Adjusted keratometry was used to correct the corneal central refractive power （K） values of the three keratometers. The CHM results were also compared to the corrected K values obtained with the three keratometers using the same statistical method. Results The smallest mean value was found for the CHM （（36.61±2.23） diopters）. The K values obtained with the CHM were very different from the results obtained with the three different instruments. The corrected K values obtained with the IOLMaster were the closest to the K values from the CHM. Conclusions It was shown that K values from measurements with the three instruments were higher. When the power of the intraocular lens of the patients after RK was calculated, the errors of the K values measured with the instruments should be taken into consideration.展开更多
基金This work was supported in part by Tissue Banks International, the Medical Eye Bank of Maryland
文摘It has been known for almost a century that radial keratotomy (RK) will flatten the cornea and reduce myopia. Since the introduction of radial keratotomy (RK) in the United States by Bores in 1978, there have been many published studies documenting the effects of this procedure. The questions. about radial keratotomy today are not only quantitative but also qualitative in nature. We know this technique can flatten the cornea, but how reliably can the results be predicted? Does the patient benefit suffic...
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.
文摘Background Corneal curvatures measured by conventional instruments after refractive surgeries were greater than the real values. This study on the instruments and methods for measuring corneal curvature was carried out with the aim of determining an accurate, simple and effective method to evaluate corneal refractive power after radial keratotomy （RK）. Methods A retrospective study was carried out on 52 eyes of 42 patients with a history of RK. The postoperative measurements after RK were performed with a manual keratometer （Rodenstock, Munchen-Hamburg, Germany）, a corneal topographer （Tomey TMS-1） and an automated IOLMaster keratometer （Carl Zeiss GmbH, USA）. The results obtained from analyzing clinical histories （clinical history method, CHM） were compared to the postoperative measurements with a two-way analysis of variance. Adjusted keratometry was used to correct the corneal central refractive power （K） values of the three keratometers. The CHM results were also compared to the corrected K values obtained with the three keratometers using the same statistical method. Results The smallest mean value was found for the CHM （（36.61±2.23） diopters）. The K values obtained with the CHM were very different from the results obtained with the three different instruments. The corrected K values obtained with the IOLMaster were the closest to the K values from the CHM. Conclusions It was shown that K values from measurements with the three instruments were higher. When the power of the intraocular lens of the patients after RK was calculated, the errors of the K values measured with the instruments should be taken into consideration.
