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James Ace Brown, MD
Augusta, Ga

Arch Ophthalmol. 1989;107(10):1419.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In the April 1989 issue of the ARCHIVES, Arrowsmith and Marks¹ concluded in their article on radial keratotomy that "Overall, these results indicate RK [radial keratotomy] to be safe and effective through 5 years after surgery for the vast majority of patients in this series." They indicate that after 5 years 26.8% of eyes operated on have hyperopia greater than 1 diopter and 6.5% have myopia greater than 2 D. This seems to me to be a failure rate of 33.3%, with 26.8% of patients (those with hyperopia) being distinctly worse off after surgery. I do not consider 66.6% to be a "vast" majority.

Effectiveness is in the eyes of the beholder and apparently in only two thirds of the eyes of these patients. . . . [Full Text PDF of this Article]

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