Traumatic epithelial downgrowth after radial keratotomy

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Flap management during LASIK after radial keratotomy.

To the Editor: Radial keratotomy (RK) can be effective in reducing low to moderate amounts of myopia. Occasionally, a patient will “under-respond” to the RK procedure and be left with significant residual myopia. The refractive surgeon may then be presented with a situation where the patient desires more myopic reduction, but the surgeon does not want to perform another RK (for fear of inducing...

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Photorefractive keratectomy for hyperopia after radial keratotomy.

BACKGROUND Progressive hyperopia is a common complication following radial keratotomy. METHODS Ten eyes of ten consecutive patients with hyperopia after radial keratotomy between +1.75 and +4.00 diopters (D) were treated with the hyperopia module of the Nidek Model EC-5000 excimer laser. The mean preoperative uncorrected visual acuity was 0.38 (20/60+). RESULTS After excimer laser photorefr...

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Histopathology of radial keratotomy.

Report of a Case. A 39-year-old man with a history of RK performed elsewhere 8 years prior had complaints of decreased vision in both eyes. The patient’s preoperative refraction was –9.25 OD and –9.50 OS. According to the patient, the initial surgery was uncomplicated, although both eyes required enhancements. Cycloplegic refraction in our office was –3.50 +0.50 70 OD and –13.50 +1.00 100 OS, g...

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Laser in situ Keratomileusis for Overcorrection After Radial Keratotomy.

PURPOSE To evaluate laser in situ keratomileusis (LASIK) for induced hyperopia after radial keratotomy. METHODS Twenty eyes had LASEK for induced hyperopia after radial keratotomy. All eyes were treated using the Nidek excimer laser (EC-5000) and the Hansatome microkeratome with a 905-mm ring and 180-mm plate. Hyperopic correction was done using a 5.5 to 7.5-mm ablation zone. RESULTS Mean p...

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Epithelial Downgrowth after Intraocular Surgery Treated with Intracameral 5-Fluorouracil

Purpose. To present the clinical and histopathologic correlation of two cases of epithelial downgrowth (EDG) after prior intraocular surgery. Methods. Observational case reports. Results. We present two cases of EDG occurring after intraocular surgery. In both cases, after two anterior chamber injections of 5-fluorouracil (5FU), the area of EDG initially regressed. In Case 1, a limited area of ...

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ژورنال

عنوان ژورنال: Journal of Cataract and Refractive Surgery

سال: 2008

ISSN: 0886-3350

DOI: 10.1016/j.jcrs.2007.09.018