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One-Year Follow-Up

Peter N. Arrowsmith, MD; Ronald G. Marks, PhD

Arch Ophthalmol. 1984;102(11):1612-1617.

Abstract
• Ongoing prospective evaluation of radial keratotomy was conducted on 156 eyes of the first 101 consecutive patients. We did a one-year follow-up and compared previously reported six-month findings. All eyes were examined both six months and one year after surgery. Findings obtained by an independent examiner both before and after surgery correlated highly with findings obtained in the surgeon's office. One year after surgery, mean change in spherical equivalent was +4.7 diopters; overall uncorrected distance acuity was 20/20 in 49% of cases and at least 20/40 in 76% of cases. Fifty-eight percent of eyes were within 1.0 D of emmetropia. Visual results showed slight general improvement between six and 12 months; refractive results were stable, except that excessive overcorrection was found to decrease. In this series, radial keratotomy seemed safe and effective one year after surgery.

Author Affiliations
From the Arrowsmith Eye Institute, Nashville (Dr Arrowsmith), and the Department of Statistics, Biostatistics Unit, University of Florida, Gainesville (Dr Marks).

Footnotes
Accepted for publication Aug 23, 1984.

Read in part before the 87th annual meeting of the American Academy of Ophthalmology, San Francisco, Nov 4, 1982.

Reprint requests to 210 25th Ave N, Ninth Floor, Nashville, TN 37203 (Dr Arrowsmith).

This study was supported in part by National Eye Institute research grant R03 EY04237-01 for Analysis of Radial Keratotomy (ARK).

Linda Flippen conducted office clinical research logistics. Martin I. Perlmutter, MD, provided independent examinations.

Figures 1 and 2 are reproduced with permission from Radial Keratotomy (Thorofare, NJ, Slack Inc, 1984, pp 116 and 119).

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