Radial keratotomy in an elderly patient.
A 74-year-old male complained of poor vision and diplopia as a result of cataract extraction and intraocular lens implantation. On refraction, we found -6.25 diopters (D) of myopia in his right eye. The patient, dissatisfied with wearing contact lenses and spectacles to correct vision, opted to have refractive corneal surgery. We performed a four-incision radial keratotomy with a 4 mm clear zone. This resulted in a 3.75 D (-2.5 D residual myopia) reduction in myopia at two months of follow-up. Our results indicate that radial keratotomy may be useful for correcting unacceptable myopia in older patients.
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Department of Ophthalmology, Louisiana State University Medical Center, Shreveport 71130.
Lucius
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Granger
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B
D000368:Aged; D002387:Cataract Extraction / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D007646:Keratotomy, Radial; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D009216:Myopia / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity