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Related Experiment Videos

Strabismus induced by radial keratotomy

J Zwaan1

  • 1Department of Ophthalmology, University of Texas Health Science Center, Medical School, San Antonio, USA.

Military Medicine
|October 1, 1996
PubMed
Summary

Diplopia, or double vision, can occur after radial keratotomy surgery. This case highlights accommodative esotropia as a complication, supporting the U.S. military

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Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Corneal Surgery

Background:

  • Radial keratotomy (RK) is a surgical procedure to correct myopia.
  • Refractive surgery aims to improve vision without corrective lenses.
  • Ophthalmic surgical complications can impact patient outcomes.

Observation:

  • A woman developed diplopia (double vision) after undergoing radial keratotomy.
  • Examination revealed the diplopia was caused by accommodative esotropia.
  • Accommodative esotropia is an inward turning of the eyes linked to focusing effort.

Findings:

  • The case report details a specific complication of radial keratotomy.
  • A review of literature identified other potential complications of refractive surgery.
  • Accommodative esotropia is a documented, albeit uncommon, risk associated with RK.

Implications:

  • The findings support the U.S. military's policy of disqualifying refractive surgery candidates.
  • Ophthalmologists should be aware of potential long-term visual disturbances after RK.
  • Careful patient selection and counseling are crucial for refractive surgery candidates.

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