Combined laser in situ keratomileusis and radial keratotomy for the treatment of moderate to high myopia.

Abstract

PURPOSE:

To evaluate the results of combining laser in situ keratomileusis (LASIK) and radial keratotomy (RK) for the correction of moderate to high myopia.

SETTING:

Corneal Consultants of Colorado, Littleton, Colorado, and International Eye Care Laser Vision Center, Houston, Texas, USA.

METHODS:

In a retrospective 2-surgeon interventional case series, outcomes in 60 eyes of 41 patients with moderate to high myopia were reported. All eyes had LASIK using a Visx Star S2 or Summit Apex Plus((R)) excimer laser. Residual myopia was treated with RK.

RESULTS:

Of the 54 eyes corrected for distance, the mean refractive spherical equivalent was -8.09 diopters (D) preoperatively and -0.43 D after LASIK and RK. The mean follow-up was 15.4 months. At the last visit, the uncorrected visual acuity was 20/20 in 22 eyes (41%), 20/25 in 36 eyes (67%), and 20/40 in 51 eyes (94%). No eye lost 2 or more lines of best spectacle-corrected visual acuity.

CONCLUSIONS:

Many patients previously considered poor refractive surgery candidates because of their degree of myopia or corneal thickness could be offered this safe and effective combined refractive technique.

• Authors: Richard E Damiano, Gregory A Kouyoumdjian, S Lance Forstot, Wesley B Kasen, Charles R Moore
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 29 Issue 5 Pg. 908-11 (May 2003) ISSN: 0886-3350 [Print] United States
• PMID: 12781274 (Publication Type: Journal Article)

Topics

• Adult
• Cornea (physiopathology, surgery)
• Female
• Humans
• Intraoperative Complications
• Keratomileusis, Laser In Situ (methods)
• Keratotomy, Radial (methods)
• Male
• Middle Aged
• Myopia (physiopathology, surgery)
• Postoperative Complications
• Refraction, Ocular
• Retrospective Studies
• Safety
• Treatment Outcome
• Visual Acuity (physiology)