Indian Journal of Ophthalmology

: 1990  |  Volume : 38  |  Issue : 4  |  Page : 210--211


Swadesh C Acharjee 
 B-177, C.R. Park, New Delhi 1 110 019, India

Correspondence Address:
Swadesh C Acharjee
B-177, C.R. Park, New Delhi 1 110 019

How to cite this article:
Acharjee SC. letter.Indian J Ophthalmol 1990;38:210-211

How to cite this URL:
Acharjee SC. letter. Indian J Ophthalmol [serial online] 1990 [cited 2024 Feb 27 ];38:210-211
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Full Text

Dear Editor,

I congratulate you and Dr. G.N. Rao, for bring out the excellent issue of RADIAL KERATOTOMY (RK) in July�Sept. '90, which included contributions from Internation�al surgeons. In future, I suggest that you should publish a similar issue on IOL.

The article on complications of RK in India by Dhanda & Kalevar is also of great importance. In this context I feel it is appropriate to reproduce here the 'Statement on RK' released by AAO (ARGUS October 1985, Vol.8 No.10 p 7, Academy Focus) which may he of some importance to your readers.

"On the basis of reports presently available, radial keratotomy continues to evolve as a surgical technique for modifying myopia, but it is too early to evaluate completely the incidence of post-operative complica�tions or to draw conclusions regarding the long-term effects of the procedure. At this time, it appears from reports in the scientific literature that most individuals who have undergone radial keratqtomy are pleased with the initial results. However, the past several years, there have been reports in the scientific literature of unpre�dictable results and some instances of serious visual impairment, including blindness. In any assessment of radial keratotomy, the risk/benefit comparison is espe�cially important. The procedure may reduce or eliminate the need for eyeglasses or contact lenses; but at least until more long-term data are available, this benefit must be weighed against the possibility of immediate or future impairment of sight or other complications. Not until a number of studies are completed will it be possible to state definitively the risks and benefits of radial keratotomy.

At this time, radial keratotomy is an investigational pro�cedure for the modification of myopia which should be conducted in accordance with adequate review mechanisms and preceded by appropriate informed consent which recognizes the special nature and presently uncertain ramifications of the procedure.