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Histopathology of Radial Keratotomy
Arch Ophthalmol. 2005;123:104-105.
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We present this case as a pictorial of radial keratotomy (RK) with significant subepithelial fibrosis. This type of scarring is a well-known complication of photorefractive keratotomy but is not as well documented as an adverse effect of RK.1-4 Although such extensive fibrosis is uncommon, it can develop and cause significant visual impairment.2
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 x 70 OD and –13.50 +1.00 x 100 OS, giving a best-corrected visual acuity of 20/200 OD and 20/80 OS. Unfortunately, the patient did not have interval examinations, andso the progression of refractive change to the current level is unclear. Keratometry in both eyes showed . . . [Full Text of this Article]
AUTHOR INFORMATION
Sarit M. Patel, MD;
Rachel A. Tesser, MD;
Daniel M. Albert, MD, MS;
Christopher R. Croasdale, MD
RELATED LETTER
Alternative Approach to the Treatment of Subepithelial Fibrosis Following Radial Keratotomy
Randy J. Epstein and Parag A. Majmudar
Arch Ophthalmol. 2006;124(2):288.
EXTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Alternative approach to the treatment of subepithelial fibrosis following radial keratotomy.
Epstein and Majmudar
Arch Ophthalmol 2006;124:288-288.
FULL TEXT
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