A Novel Procedure for Treating Radial Keratotomy (RK) Induced Corneal Irregularity Utilizing Treatment of Epithelial Compensation of Higher-Order Aberrations and Topographic Guided Ablation-The CREATE Protocol
Year: 2024
Type: article
Abstract: Purpose: To present the outcomes of a retrospective study of treatment of radial keratotomy-induced corneal irregularity with topographic guided ablation and a trans-epithelial approach based on epithelial compensation. Methods: Sixty eyes of 31 patients were treated for radial keratotomy-induced corneal irregularity utilizing a customized trans-epithelial topographic guided ablation photorefractive keratectomy (PRK) for treatment of corneal higher-order aberrations and lower-order astigmatism. Three-month results were analyzed via measurement of vision, refraction, residual higher-order aberrations (HOAs), residual lower-order and higher-order aberrations, as well as for loss or gains of lines of best corrected visual acuity. Results: Higher-order aberrations (HOA) were reduced by 69%, with an 80% reduction of higher-order aberrations grouped with lower-order aberrations (Grouped). Most (95%) of eyes achieved 20/40 vision or better, 50% of eyes gained 1-9 lines of best corrected vision, and no eyes had loss of best corrected vision. Conclusion: Use of the CREATE protocol to treat RK-induced corneal irregularity resulted in a significant decrease in HOA, as well as a significant improvement in corrected distance visual acuity.
Source: Clinical ophthalmology
DOI: 10.2147/opth.s476555
Author: Manoj Motwani
Language: English
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,320
OpenAlex ID: W4403201963