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Trauma after radial keratotomy.

S L Forstot1, R E Damiano

  • 1Department of Ophthalmology, University of Colorado, School of Medicine, Denver.

Ophthalmology
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

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Trauma after radial keratotomy (RK) rarely causes permanent vision loss. Most RK incisions remained intact after injury, with no lasting changes in visual acuity for any patient.

Area of Science:

  • Ophthalmology
  • Trauma Surgery

Background:

  • Radial keratotomy (RK) is a refractive surgical procedure.
  • Ocular trauma can occur post-RK, potentially affecting surgical outcomes.

Purpose of the Study:

  • To report on the outcomes of patients experiencing trauma after RK.
  • To assess the integrity of RK incisions following ocular or orbital trauma.

Main Methods:

  • Retrospective case series.
  • Review of eight trauma cases in seven patients following RK.

Main Results:

  • Trauma occurred between 2 weeks and 53 months post-RK.
  • Five patients sustained mild to severe orbital/globe trauma; three had severe direct globe trauma.
  • RK incisions remained intact in six cases; two severe trauma cases involved radial incision opening, treated successfully with bandage lenses.

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  • No permanent change in pre-trauma visual acuity was observed in any of the eight cases.

    • Conclusions:

    • Radial keratotomy incisions demonstrate resilience to trauma.
    • Ocular and orbital trauma following RK does not typically lead to permanent visual acuity loss.
    • Prompt management can ensure favorable outcomes even with RK incision compromise.