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Harold Sawelson, MD; Ronald G. Marks, PhD

Arch Ophthalmol. 1985;103(4):505-510.

Abstract
• This article presents the one- and two-year results of radial keratotomy on the first 386 surgeries performed by one of us (H.S.). Follow-up visits were obtained on 285 (74%) of these eyes. The mean spherical equivalent before surgery was -4.3 diopters, average keratometry was 44.11 D, and 75% of eyes had uncorrected distance acuity of 20/400 or more. Average change in spherical equivalent was 3.5 D at two years. Uncorrected visual acuity was at least 20/40 in 70% of eyes examined at two years, and at least 20/20 in 26%. Refractive, keratometric, and visual results all were stable at 12 months and showed no significant change from one to two years after surgery. Of the patients in this study, 11.9% required second procedures and 8% of surgeries had perforations, but none with negative sequelae. The results of our analysis indicate that radial keratotomy surgery is safe, effective, and with stable results two years after surgery.

Author Affiliations
From the Section of Ophthalmology, Cedars Medical Center, Miami (Dr Sawelson); the Department of Ophthalmology, Ambulatory Center of Miami (Dr Sawelson); and the Biostatistics Unit, Department of Statistics, University of Florida, Gainesville (Dr Marks).

Footnotes
Accepted for publication Nov 28, 1984.

Reprint requests to 1450 S Miami Ave, Suite 202, Miami, FL 33130 (Dr Sawelson).

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