[LASIK after radial keratotomy--case report].

Area of Science:

• Ophthalmology
• Refractive Surgery

Background:

• Radial keratotomy (RK) was an early refractive surgical procedure.
• RK involves making radial incisions in the cornea to correct myopia.
• Previous RK can complicate subsequent refractive surgeries.

Observation:

• The patient had a history of prior radial keratotomy.
• The patient subsequently underwent Laser-Assisted In Situ Keratomileusis (LASIK).
• The procedure was technically difficult with elevated intraoperative risks.

Findings:

• Performing LASIK after RK is associated with increased difficulty.
• Intraoperative risks are notably higher in this patient population.
• This case highlights the complexities of sequential refractive surgery.

Implications:

• Surgeons must exercise extreme caution when considering LASIK after RK.
• Careful patient selection and surgical planning are paramount.
• Understanding the risks is crucial for managing patient expectations and outcomes.