SUMMARY
Secondary hypero pia following radial keratotomy (RK) may result from an initial overcorrection or from a continued effect of the procedure with the time. We evaluated the effect of surgical intervention for the management of overcorrection following RK in five patients (6 eyes) who underwent surgical reopening of the incisions, irrigation and closure of the incisions with Nylon 10-0.
Follow-up ranged from 24-62 weeks. All patients presented decrease on hyperopia after surgery. Spherical equivalent varied from 4.87 ± 2.02 D preoperatively to 1.16 ± 1.99 D and 2.60 ± 0.96 D respectively at 4 and 24 weeks postoperatively. Variable amount of induced astigmatism was detected in all patients as detected by refraction and corneal topography. Surgical revision of RK incisions consistently induced central corneal steepening in these five patients.