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Post Info TOPIC: Radial Keratotomy on possible KC


Executive

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Date: Tue Nov 1 2:58 AM, 2005
Radial Keratotomy on possible KC
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Radial keratotomy in patients with atypical inferior steepening.

Grandon SC, Weber RA.

Eye Surgery Institute, Dearborn, Michigan 48126.

Using corneal topography we screened 1,368 consecutive eyes that had radial keratotomy from November 1991 through April 1993. Fourteen eyes in nine patients exhibited topographic patterns consistent with "keratoconus suspect" status, but only one had atypical clinical findings. At four to 19 months postoperatively, refraction and uncorrected visual acuity improved in all eyes. Eight eyes gained best corrected visual acuity. To date, all 14 eyes appear to be stable, with no radial-keratotomy-related complications.
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The interesting thing about this report is its rarity... It is extremly difficult to find any positive discussion on using RK or mini ARK on keratoconus (although here, except in one case, KC was only suspected... but I assume that corneal steepening of some sort was present). It would be easy therefore to assume that the reason there are no glowing reports is because the technique is flawed and does not work.
But here in this little (dated) report we see that eyes have been shown to improve... this sentiment is echoed by those present day mini ark patients that have also shown progress.
Even if only one patient had been found to have benefited then wouldnt that be enough for the medical establishment to dig deeper and find out if this is something that warranted closer inspection (Somehow I feel that Prof. Lombardi does not have to contend with too many eager doctors knocking at his door)

Hari

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Executive

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Date: Wed Nov 2 12:16 AM, 2005
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Excelent! Hari, thanks! I checked the web the article may be found here
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7932125&dopt=Abstract

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yarsky


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Posts: 397
Date: Wed Nov 2 9:36 PM, 2005
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Thanks for posting the link Yarsky...
It all makes for a more rounded view of the Keratoconus battle...

Hari

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