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W J Jory

Publications and source records attributed to W J Jory.

3 recordsLinked to original sources

Predictability of radial keratotomy after excimer laser photorefractive keratectomy.

PURPOSE: To evaluate the results of radial keratotomy (RK) after photorefractive keratectomy (PRK). SETTING: London Centre for Refractive Surgery. METHODS: This study comprised six eyes having RK enhancement after PRK. Outcome measures were the effect of the incisions on post-PRK haze and best corrected visual acuity (BCVA), predictability of the result on already flattened corneas, and the validity of standard radial keratotomy (RK) nomograms. All PRKs were done when refraction was stable with one of two VISX lasers: the Twenty-Twenty or Star. Mean follow-up was 14 months. RESULTS: All eyes had further corneal flattening. The standard RK nomograms were deemed appropriate. There was no loss of BCVA because of aggravated haze of irregular astigmatism. CONCLUSION: Radial keratotomy after PRK proved safe, economical, and effective after PRK in six eyes.

Adult↗

Radial keratotomy: 500 consecutive cases.

A report on 500 consecutive eyes having radial keratotomy for myopia and myopic astigmatism is presented. Surgery was on an out-patient basis under local anaesthetic, with a follow-up of 99.2% of cases, 91.8% of the 294 patients elected to have radial keratotomy on the fellow eye. The surgical protocol was designed to minimise side effects and complications rather than maximise the reduction in myopia. 6/12 unaided vision or better was achieved by 99% of cases in the low myopia group, 91% in the middle and 41% in the high myopia group. Persistent hypermetropia of +1.00D or greater occurred in only 0.4% of cases and secondary astigmatism of 1.00D or greater in 1% of cases. Corneal perforations were minimised by single-pass incisions, but this was at the cost of lesser myopic corrections in the higher myopic group. Centering on the visual axis rather than the centre of the pupil minimised glare sensitivity. No patient developed potentially blinding complications.

Astigmatism↗