Radial Keratotomy in the United States

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Abstract
After learning about radial keratotomy in October 1978, my colleagues and I began to evaluate the acute1-5 and chronic1,6-8 morphologic features of animal and human pathologic specimens. I participated in the drafting of the Prospective Evaluation of Radial Keratotomy (PERK) study, and in 1983 began performing radial keratotomy, which I still perform today. I have documented the complications that can occur with keratotomy procedures.9-11 In addition, I have had the honor of reviewing this subject for the Archives in 198412 and as the Berens Memorial Lecturer for the Contact Lens Association of Ophthalmologists.13 See also pp 42, 76, 81, and 86. In my opinion, all published studies have demonstrated that the operation can reduce myopia and improve uncorrected visual acuity. However, variation in surgical design and nonuniform reporting of results have made it difficult to compare studies. For example, all of the major clinical reports,

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