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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 .
With PRK, the corneal epithelium is removed and discarded, allowing the cells to regenerate after the surgery. The procedure is distinct from LASIK (laser-assisted in-situ keratomileusis), a form of laser eye surgery where a permanent flap is created in the deeper layers of the cornea. However, PRK takes longer to heal and can, initially, cause ...
Radial keratotomy (RK), developed by Russian ophthalmologist Svyatoslav Fyodorov in 1974, uses spoke-shaped incisions, always [clarification needed] made with a diamond knife, to alter the shape of the cornea and reduce myopia or astigmatism; this technique is, in medium to high diopters, usually replaced by other refractive methods.
PTK allows the removal of superficial corneal opacities and surface irregularities. It is similar to photorefractive keratectomy, which is used for the treatment of refractive conditions. The common indications for PTK are corneal dystrophies, scars, opacities, and bullous keratopathy. [1]
In some cases when the cornea becomes dangerously thin or when sufficient vision can no longer be achieved by contact lenses due to steepening of the cornea, scarring, or lens intolerance, corneal cross-linking is not an option, and a corneal transplant may be required. Keratoconus affects about 1 in 2,000 people.
Boston Kpro type 1 titanium posterior plate. Keratoprosthesis is a surgical procedure where a diseased cornea is replaced with an artificial cornea. Traditionally, keratoprosthesis is recommended after a person has had a failure of one or more donor corneal transplants. [1]
Long-term contact lens use can lead to alterations in corneal thickness, stromal thickness, curvature, corneal sensitivity, cell density, and epithelial oxygen uptake. . Other structural changes may include the formation of epithelial vacuoles and microcysts (containing cellular debris), corneal neovascularization, as well as the emergence of polymegethism in the corneal endoth
The microkeratome then makes a small incomplete flap across the cornea by cutting across it. While still attached at one side, the corneal flap is folded back to reveal a sub layer of cornea. At this point, the microkeratome is precisely readjusted to match the calculated cut depth for the patient's vision correction.