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Radial keratotomy (RK) is a refractive surgical procedure to correct myopia (nearsightedness). It was developed in 1974 by Svyatoslav Fyodorov , a Russian ophthalmologist . It has been largely supplanted by newer, more accurate operations, such as photorefractive keratectomy , LASIK , Epi-LASIK and the phakic intraocular lens .
Months or years after the cataract operation, the remaining posterior lens capsule can become opaque and vision will be reduced in about 20–25% of eyes. [4] This is known as posterior capsule opacification (PCO). PCO is best treated by posterior capsulotomy using YAG laser. [4]
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
A phakic intraocular lens (PIOL) is an intraocular lens that is implanted surgically into the eye to correct refractive errors without removing the natural lens (also known as "phakos", hence the term). Intraocular lenses that are implanted into eyes after the eye's natural lens has been removed during cataract surgery are known as pseudophakic.
Visual outcome after cataract surgery was close to conformity with WHO guidelines in Buenos Aires, where more than 80% of post-surgery eyes had visual acuity of 6/18 (20/60) or better, but ranged between 60% and 79% in most of the other regions, and was less than 60% in Guatemala and Peru. [126]
Cataract extraction following refractive surgery poses special problems for the patient and the surgeon because the corneal change as a result of refractive surgery complicates accurate keratometry, a key element of lens implant power calculation. After laser refractive surgery for myopia, this could result in overestimation of corneal power ...
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