The stability and function of a normal healthy visual system can be influenced by circumstances such as great depth or high altitude. As refractive surgery changes the properties of the cornea and the lens, concerns about refractive or intraocular lens (IOL) procedures in humans exposed to extreme situations have been raised. Early in the 1990s, it was reported that incisional refractive surger...

PURPOSE To report the use of circular keratotomy in eyes with stage I and II keratoconus to reduce astigmatism. METHODS A retrospective analysis was performed of all eyes operated from 1993 to 2006 by one surgeon using circular keratotomy for stage I and II keratoconus. Results were evaluated for reduction of corneal astigmatism, refractive stability, and change in best spectacle-corrected vi...

AIM To determine the changes in postkeratoplasty astigmatism induced by lamellar keratotomy. METHODS A prospective, non-randomised comparative trial of patients undergoing a hinged lamellar corneal flap for treatment of significant astigmatism after penetrating keratoplasty. Uncorrected visual acuity, best corrected visual acuity, refraction, and corneal topography were assessed at 1 and 3 mo...

This retrospective study evaluates visual (functional) and refractive outcome of correcting hyperopia (i.e. 2.5 D or more) by means of a cataract procedure and simultaneously the pre-existing clinical significant astigmatism (1.5 D or more with the rule; 1 D or more against the rule), if present, by means of an arcuate keratotomy. Nine eyes undergoing clear lens extractions with intraocular len...

PURPOSE To report the outcome of Descemet stripping automated endothelial keratoplasty (DSAEK) for bullous keratopathy after Sato anterior-posterior radial keratotomy (APRK). METHODS The clinical records of patients who had DSAEK surgery for bullous keratopathy after APRK were reviewed. RESULTS Five eyes of 4 patients (4 men) were included. The mean age at DSAEK surgery was 81.8 ± 7.1 years...

OBJECTIVE To evaluate visual outcomes and complications after phacoemulsification in eyes with cataract and previous radial keratotomy (RK) cuts using different sizes of clear corneal incisions. METHODS The study was a retrospective study. Thirty eyes with cataract and previous RK underwent phacoemulsification and intraocular lens (IOL) implantation. Among them 7 eyes had 8 RK cuts, 13 eyes h...

OBJECTIVES To study the effects of radial keratotomy (RK) and photorefractive keratectomy (PRK) on contrast sensitivity and glare disability using 4 different devices, and to correlate subjective complaints with obj ective scores of visual performance. METHODS Preoperative contrast sensitivity for 30 eyes undergoing RK and 30 eyes undergoing PRK was compared with contrast sensitivity at 1, 3,...