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Radial Keratotomy (often abbreviated RK) is a type of refractive surgery meant to correct myopia or nearsightedness. Developed in the 1970s in Russia, RK was the very first refractive surgical procedure to gain ground in North America. Since then, RK has largely been rendered obsolete by newer refractive surgeries, such as LASIK and photorefractive keratectomy (PRK).

How Does Radial Keratotomy Work?

In an RK procedure, a surgeon makes small but deep incisions in the cornea with the goal of flattening it. Since myopia often results from an excessive curvature of the cornea, this procedure will ideally help to reduce issues like nearsightedness and astigmatism.

Often, surgeons will perform RK on one eye and then wait up to six weeks before performing surgery on the second eye. This delay allows the surgeon to monitor the first eye and record the results of the surgery. The results of the surgery on the first eye will often influence how the surgeon performs the surgery on the second eye. In the meantime, the patient will be fitted for contact lenses for the uncorrected eye to ensure more equal and consistent vision between the eyes.

Complications of RK

While many patients praised the effects of RK in the early days, long-term results of the surgery have not all been as positive. Many RK patients suffer from permanent vision damage and other long-term complications. The complications include:

In addition to these complications and risks, RK patients often complain of dry eye, double or triple vision, fluctuations in vision quality, halos, glare, reduced indoor or night vision, and even depression. Studies have also shown that, over time, patients who have undergone RK to correct nearsightedness gradually shift toward farsightedness.

Treating RK Complications

At Miami Contact Lens Institute, we frequently treat patients for complications from RK. More than two million people went through this surgery in the United States and Canada alone, so RK complications tend to be common. Some of these patients later tried LASIK to undo the damage done by RK. Combined, these two types of refractive surgery often cause even more severe issues than RK alone.

By using scleral lenses, we can help patients restore their vision. Scleral lenses are large contact lenses that rest on the sclera (the white of the eye) and protect the cornea with a fluid-filled vault. At Miami Contact Lens Institute, we custom-make scleral lenses for each patient, fitting the lens to ensure the cornea is constantly hydrated and protected. The fluid-filled tear reservoir helps compensate for irregularities on the surface of the cornea—including scars from RK incisions—thereby providing improved vision. Finally, because our lenses are permeable to oxygen, they are comfortable, leaving the patient with little to no irritation or sensation of having something in their eye.

Am I a Good Candidate for Scleral Contact Lenses?

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