Department of Ophthalmology (Y.I., S.K., N.M., K.N.), Osaka University Graduate School of Medicine, Osaka, Japan; Yodogawa Christian Hospital (Y.I.), Osaka, Japan; Department of Innovative Visual Science (S.K., R.I.), Osaka University Graduate School of Medicine, Osaka, Japan; SEED CO. (R.I.), LTD., Tokyo, Japan; and Department of Ophthalmology (M.M.), New York University Langone Medical Center, New York, NY.
Eye Contact Lens. 2024 Jul 1;50(7):329-331. doi: 10.1097/ICL.0000000000001097. Epub 2024 May 10.
Radial keratotomy (RK) was commonly performed in the 1980s and 1990s. We aimed to clarify the current status of post-RK refractive correction and treatment. We retrospectively reviewed the charts of 70 patients with a history of RK. Of the 70 patients, 44 were identified for clinical outcomes. Refractive or therapeutic intervention (rigid gas-permeable contact lens fit, spectacle prescription, corneal surgery, and use of pilocarpine hydrochloride for photophobia) was possible in 59% of patients with postoperative visual deterioration after RK; in the remaining 41%, therapeutic intervention was not possible. Rigid gas-permeable contact lens fit for corneal irregular astigmatism was the most common refractive intervention and was effective in 36% of cases in the university hospital.
放射状角膜切开术（RK）在 20 世纪 80 年代和 90 年代较为常见。我们旨在阐明 RK 术后屈光矫正和治疗的现状。我们回顾性分析了 70 例 RK 病史患者的图表。在 70 例患者中，44 例患者的临床结果可评估。在 RK 术后视力下降的患者中，59%可进行屈光或治疗干预（硬性透气性角膜接触镜适配、眼镜处方、角膜手术和使用毛果芸香碱治疗畏光）；在其余 41%的患者中，无法进行治疗干预。硬性透气性角膜接触镜适配治疗角膜不规则散光，是最常见的屈光干预措施，在大学附属医院的 36%的病例中有效。
