Lyle and Jin1 report the results of a prospective study intended to assess the long-term safety and efficacy of the referenced technique, which relies on the creation of a "controlled" ectasia to induce a myopic shift and thus treat hyperopia. While such work is important to direct future clinical practice, the authors' conclusion that the findings "should discourage its use, especially for consecutive hyperopia following radial keratotomy" is overly broad given the information presented, since this would tend to imply discouragement for other purposes.
Kliger CH. Hyperopic Automated Lamellar Keratoplasty. Arch Ophthalmol. 1999;117(3):416. doi: