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Surgery & Complications
Infection involved the optical zone complicated with delayed wound healing.
Radial Keratotomy Complications

  • Refractive surgery procedure to correct mild to moderate degrees of myopia (2 to 5 D)
  • Principle:
    • Creating a series of radial corneal incisions.
    • These incisions weaken the corneal structure and induce a slight bulging of the mid peripheral corneal with an associated flattening of the central optical zone.
  • Surgical complications may include:
    • Microperforation
    • Full thickness corneal perforation, which may lead to intraocular infection, endothelial damage, corneal decompensation, iris or lens injury, and induction of irregular astigmatism
    • Decentration
    • Incorrect use of the surgical nomogram
    • Inadvertent extension of the incision into the optical zone
  • Postoperative problems may include:
    • Symptoms of ocular pain, glare, photophobia, diminished quality of vision and lost of best corrected visual acuity
    • Irregular astigmatism
    • Contact lens fitting problems
    • Epithelial plugs filling the incisions with secondary wound gap
    • Infection complicated with delayed wound healing
    • Scarring
    • Limbal vascularization
  • Management:
    • If the perforation is extensive and non self-sealing (macro-perforation) it must be sutured to restore the ocular integrity.
    • Reduced visual function not amenable to non-surgical treatment such as spectacle correction or contact lenses may be treated surgically with:
      • Excimer laser phototherapeutic treatment
      • LASIK
      • Penetrating keratoplasty.

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