Overcorrection is a frequent, significant complication of radial keratotomy (RK).1 Treatment of patients with overcorrected RK requires spectacle or contact lens correction of the hyperopia. Lindquist and associates2 described a technique of suturing the radial incisions to treat overcorrection following RK. In 1986, Mendez3 presented hexagonal keratotomy as a surgical treatment of hyperopia and overcorrection after RK. We describe a patient who required a penetrating keratoplasty for corneal scarring and irregular astigmatism following hexagonal keratotomy for an overcorrected RK, with multiple intersecting incisions.
See also p 1374.
Report of a Case.
—A 59-year-old man underwent RK of his left eye in July 1988. After surgery, his visual acuity was 20/20 with −6.25 sphere. Five months later, his visual acuity was 20/20 with +2.00 +2.50 × 175. 175. In December 1988, two additional radial cuts were performed in the horizontal meridian to correct the induced astigmatism. The astigmatism
Tamura M, Mamalis N, Kreisler KR, Anderson CW, Casebeer JC. Complications of a Hexagonal Keratotomy Following Radial Keratotomy. Arch Ophthalmol. 1991;109(10):1351-1352. doi:10.1001/archopht.1991.01080100031018