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January 1987

Ptosis Following Refractive Corneal Surgery

Arch Ophthalmol. 1987;105(1):25. doi:10.1001/archopht.1987.01060010031015

To the Editor.  —Recently, a patient presented at The Wilmer Institute, The Johns Hopkins Hospital, Baltimore, with ptosis as a complication following keratorefractive surgery.

Report of a Case.  —A 27-year-old man underwent radial keratotomy (RK) of the left eye at another institution 33 months prior to our examination. His preoperative refraction was −4.25 + 0.50 × 5° OD and −4.75 + 0.50 × 165° OS with 20/20 corrected visual acuity in each eye. A 16-incision RK procedure was performed with a 3.8-mm optical zone. Four and a half months postoperatively, refraction was −1.25 + 2.50 × 180° OS, giving 20/20 visual acuity. A Ruiz procedure to correct the astigmatism was then performed by the original surgeon on the left eye. Postoperatively, the patient had periorbital edema, with some swelling of the left upper lid. After two months, the refraction was −3.50 + 6.00 × 10° with a corrected visual acuity of 20/30. Nine months

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