Corneal sensitivity after radial keratotomy. 1988

I A Shivitz, and P N Arrowsmith
Arrowsmith Eye Institute, Nashville, TN 37203.

Corneal sensitivity was tested in 76 eyes of 40 patients who underwent radial keratotomy for the correction of myopia, and radial keratotomy plus transverse incisions for the correction of myopia and astigmatism. There was a decrease in corneal sensitivity in 30.9 and 9.5% of patients undergoing radial keratotomy after 6 and 12 months, respectively. Approximately 70% of patients in this group had a recovery of lost sensitivity after 6 months. There was a similar decrease in sensitivity in 79.4 and 47.0% of patients undergoing radial keratotomy with the addition of transverse incisions for astigmatism at 6 and 12 months, respectively. The recovery rate in this group was 40.7%. The most significant loss of corneal sensation was in the areas central to the transverse incisions. The depth of the transverse incision, as well as the preoperative astigmatism, appeared to be factors in the loss of corneal sensation as well as in the recovery of the corneal sensitivity. There were no complications noted in this study as a result of decreased corneal sensitivity.

UI MeSH Term Description Entries
D007646 Keratotomy, Radial A procedure to surgically correct REFRACTIVE ERRORS by cutting radial slits into the CORNEA to change its refractive properties. Radial Keratotomy,Keratotomies, Radial,Radial Keratotomies
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009216 Myopia A refractive error in which rays of light entering the EYE parallel to the optic axis are brought to a focus in front of the RETINA when accommodation (ACCOMMODATION, OCULAR) is relaxed. This results from an overly curved CORNEA or from the eyeball being too long from front to back. It is also called nearsightedness. Nearsightedness,Myopias,Nearsightednesses
D011184 Postoperative Period The period following a surgical operation. Period, Postoperative,Periods, Postoperative,Postoperative Periods
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D003315 Cornea The transparent anterior portion of the fibrous coat of the eye consisting of five layers: stratified squamous CORNEAL EPITHELIUM; BOWMAN MEMBRANE; CORNEAL STROMA; DESCEMET MEMBRANE; and mesenchymal CORNEAL ENDOTHELIUM. It serves as the first refracting medium of the eye. It is structurally continuous with the SCLERA, avascular, receiving its nourishment by permeation through spaces between the lamellae, and is innervated by the ophthalmic division of the TRIGEMINAL NERVE via the ciliary nerves and those of the surrounding conjunctiva which together form plexuses. (Cline et al., Dictionary of Visual Science, 4th ed) Corneas
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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