[Topographically-guided photorefractive keratectomy for the management of secondary hyperopia following radial keratectomy].

PURPOSE To describe a topographically guided photorefractive keratectomy technique for the management of secondary hyperopia following radial keratectomy. METHODS A retrospective study was carried out in patients where a topographically guided photorefractive keratectomy technique was performed for the management of secondary hyperopia following radial keratectomy. The patients had preoperatively at least 3 diopters of hyperopia. The minimum follow-up was 3 months. RESULTS Twenty-four eyes of 21 patients were evaluated. The mean age was 45.54+/-6.03 years (range 36 to 55 years). The average follow-up was 7.71+/-4.6 months (range 3 to 17 months). Preoperatively the average spherical equivalent was +3.92+/-1.57 (range +1.25 D to +7.75 D), and postoperatively it was -0.29+/-1.43 (range -3.75 D to +2.50 D) (p<0.01). Visual acuity of 20/25 or better was achieved in 45.83% of the eyes, 20/40 or better in 83.33% and 20/60 or better in 100%. All patients were satisfied with the results and stated subjective improvement in visual quality. CONCLUSION Considering that it is a retreatment procedure performed in unstable and irregular corneas with high degrees of hyperopia, topographically guided photorefractive keratectomy showed good results and was safe and effective for the management of secondary hyperopia following radial keratectomy.