Myopic keratomileusis: initial results and myopic keratomileusis combined with other procedures

Myopic keratomileusis (MKM) was performed on 58 eyes to correct for moderate to severe myopia. This represents the first consecutive 58 cases I performed. Average follow-up was 11.6 months, with the shortest time being three months. Average preoperative myopia was -11.16 diopters (D) with a range of -5.50 D to -21.62 D. Average postoperative myopia was +0.38 D with a range of -7.75 D to +8.50 D. Selected patients (11) had secondary procedures such as homoplastic MKM, astigmatism procedures, or radial keratotomy. The average postoperative correction for all 58 cases was then +0.11 D with a range of -6.37 D to +4.00 D; 88.5% of patients achieved 20/50 or better uncorrected visual acuity. The procedures, postoperative course, and complications are discussed.