Photorefractive keratectomy in the management of postradial keratotomy hyperopia and astigmatism

Mohammad Ghoreishi, Mohammad-Ali Abtahi, Iman Seyedzadeh, Hamid Fesharaki, Hamidreza Jahanbani-Ardakani, Hamidreza Jahanbani-Ardakani, Hamidreza Jahanbani-Ardakani, Seyed-Hosein Abathi, Mohadeseh Mohammadinia


Background: Te aim of this study is to evaluate the results of photorefractive keratectomy (PRK) in the management of postoperative hyperopia and astigmatism in patients with history of radial keratotomy (RK). Materials and Methods: Tis prospective nonrandomizedĀ  noncomparative interventional case series enrolled consecutive eyes treated with PRK after RK. In cases, in which (1) wavefront (WF) scan was undetectable during primary examinations; and/or, (2) WF data were not transferable to the excimer laser device, patients were treated with the tissue-saving (TS) mode. Patients with detectable/transferable WF were
assigned to WF-guided advanced personalized treatment (APT). Results: Tirty-two and 47 eyes were managed by APT and TS modes, respectively. Pooled analysis of both APT and TS groups showed improvement in uncorrected distant visual acuity and corrected distant visual acuity. Te amount of sphere, cylinder, corneal cylinder, spherical equivalent, defocus equivalent, and total aberration showed improvement as well. Conclusion: PRK seems to bring favorable outcome and safety profile in the management of post-RK hyperopia and astigmatism. It is crucial for practitioners to warn their patients about the fact that they may still have
progressive refractive instability regardless of their choice on the laser method of vision correction.


Astigmatism, hyperopia, mitomycin-C, photorefractive keratectomy, radial keratectomy

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