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August 1985

Refractive Surgery: A Text of Radial Keratotomy

Author Affiliations

Oklahoma City

Arch Ophthalmol. 1985;103(8):1121-1122. doi:10.1001/archopht.1985.01050080033014

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This text presents insufficient data and excessive dogma but excellent directions for the surgeon beginning to perform radial keratotomies. This is the first text I have read that attempts to transcend patient and physician testimonials while outlining general recommendations for radial keratotomy.

The 14 authors present 239 pages of material about radial keratotomy, including such disparate but important considerations as medicolegal aspects (Jerome Bettman, MD), the pathophysiology of radial keratotomy (James Salz, MD), surgical instruments (Spencer Thornton, MD), surgical techniques and complications (Andrew Lewicky, MD), and a most intriguing chapter about postkeratoplasty astigmatism (Richard Lindstrom, MD, and William Lavery, MD).

Dr Bettman's comments are auspicious: "In cases of refractive keratoplasty, fully informed consent is of the greatest importance from both legal and ethical standpoints... both medical, legal and ethical considerations can almost always be resolved by doing what is in the best interest of the patient without regard to finances,

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