[net.med] Radial Keratotomy -- WARNING!!

zarifes@bnrmtv.UUCP (Kenneth Zarifes) (11/01/85)

[]

   If any of you or anyone you know of is considering having a radial
keratotomy you had better wait!

   Current studies have shown that the eyes of people who have had this 
operation have been continuing to become more and more hyperopic (far-sighted)
as time goes by.  There is apparently no stabilization taking place. The
resultant far-sightedness may need to then be treated.

   If you've had this procedure or are considering it,  take the following
article to your doctor,

Archives of Opthamology 
Vol. 103  June 1985
pp. 782-784

{hplabs,amdahl,3comvax}!bnrmtv!zarifes          --Ken Zarifes

-- 

{hplabs,amdahl,3comvax}!bnrmtv!zarifes          --Ken Zarifes

peter@graffiti.UUCP (Peter da Silva) (11/09/85)

>    Current studies have shown that the eyes of people who have had this 
> operation have been continuing to become more and more hyperopic (far-sighted)
> as time goes by.  There is apparently no stabilization taking place. The
> resultant far-sightedness may need to then be treated.

A lot of people, particularly short-sighted people, tend to get more far
sighted as time goes by anyway. Have the studies corrected for this (probably,
but it's best to be sure)?
-- 
Name: Peter da Silva
Graphic: `-_-'
UUCP: ...!shell!{graffiti,baylor}!peter
IAEF: ...!kitty!baylor!peter

dr@ski.UUCP (David Robins) (11/11/85)

> > resultant far-sightedness may need to then be treated.
> 
> A lot of people, particularly short-sighted people, tend to get more far
> sighted as time goes by anyway. Have the studies corrected for this (probably,
> but it's best to be sure)?

Near-sighted people do *NOT* become far-sighted at time goes on.

They do become presbyopic, as everyone does as they get older (past 40
or so), but this does not alter their distance refraction.  Presbyopia
is age-related decrease in accommodation, or ability to focus the eyes
from the relaxed distance focal point, to the accommodated near focal
point for reading.  Near-sighted (myopic) persons often become
presbyopic at a later age than normal (emmetropic) persons.  In
addition, if someone is very myopic, the minus lens they wear slightly
decreases the accommodation needed for a given near distance, due to
the optics involved.

{Presbyopia is when one has trouble reading at the normal reading
distance, but can read by holding the material farther away (at least
until one's arms cannot hold it far enough away for comfort)!}(get
longer arms? (:-).

The R-K studies follow the distance correction, which is a function of
the optics of the eye, rather than the accommodative reserve.
-- 
====================================================================
David Robins, M.D. 
Smith-Kettlewell Institute of Visual Sciences
2232 Webster St; San Francisco CA 94115
415/561-1705
			{ihnp4,qantel,dual}!ptsfa!ski!dr

The opinions expressed herein do not reflect the opinion of the Institute!