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ARTICLES
Year : 1983  |  Volume : 31  |  Issue : 7  |  Page : 898

Radial keratotomy


M & J Institute of Ophthalmology, Civil Hospital, Ahmedabad, India

Correspondence Address:
Bharti Lavingia
M&J Institute of Ophthalmology, Civil Hospital, Ahmedabad
India
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Source of Support: None, Conflict of Interest: None


PMID: 6544282

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How to cite this article:
Lavingia B. Radial keratotomy. Indian J Ophthalmol 1983;31, Suppl S1:898

How to cite this URL:
Lavingia B. Radial keratotomy. Indian J Ophthalmol [serial online] 1983 [cited 2020 May 26];31, Suppl S1:898. Available from: http://www.ijo.in/text.asp?1983/31/7/898/29699


  Radial keratotomy Top


How does one define refractive kerato­plasty? It is the employment of technique for deliberate surgical modification of corneal radius of curvature or thickness to effect per­manent beneficial change in the refractive status of the eye.

It can be done in two ways: (1) By changing the thickness of cornea-keratophakia and keratomileusis; (2) By changing the curvature of the cornea : This includes (a) wedge resec­tion of cornea. (b) disparate size graft-re­cipient and (c) radial keratotomy.

The radial keratotomy is done with the view to produce regular peripheral fibrosis to induce flattening of the cornea. About 0.1 mm of flattening of cornea in this way causes change in the refraction by 1 Diopter (Barraauer).


  Material and methods Top


Experiment was done on rabbit eyes. 14 rabbit eyes were operated and followed up for 4 months during this study.

Keratometrv of each eve was done prior to operation. Four ampoules of atropine was given intramuscularly before giving general anaestheasia. Rabbits require more atropine due to presence of atropine esterase enzyme which causes rapid destruction of atropine than in buman being. Retraction was done after injecting atropine, Na Pantothinate was injected through ear vein for giving general anaesthesia.

Eye was kept open by putting lid sutures, 7X0.2 mm. Cut was made with a corneal trephine in the centre. 16 radial cuts were extended from the margin of the trephine cut upto the limbus by blade breaker and a piece of blade maintaining the same depth. Antibiotic drops were put at the end of opera­tion three times a day for one week. No pad or bandage was applied post operatively.

Refraction and keratometery was done at the end of 1st, 2nd, 4th, 6th, 8th, and 12th week. Change in the refraction and radius of curva­ture was noted.


  Observations Top


There was gradual change in the radius of curvature and refraction in the operated eye. At the end of 12th week the mean charge in the radius of curvature was 1.37 mm and ref­raction became myopic by about 4 diopters. There was no gross astigmatism orgrosslyvis­ible disfiguring scar on the cornea.


  Conclusion Top


Surgery for decreasing the radius of curva­ture of cornea induces hypermetropia to counteract axial myopia upto 4 dioptors.




 

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  In this article
Radial keratotomy
Material and methods
Observations
Conclusion

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