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Refractive corneal surgery

Contents of this page:


Radial keratotomy for myopia  - series
Radial keratotomy for myopia - series
Lasik eye surgery - series
Lasik eye surgery - series

Alternative Names    Return to top

Nearsightedness surgery; Radial keratotomy; Refractive surgery

Definition    Return to top

Refractive corneal surgery corrects mild-to-moderate nearsightedness. If you are nearsighted, you have trouble seeing things that are far away.

See also: LASIK eye surgery

Description    Return to top

Your surgeon will place numbing drops in your eye so you do not feel pain during surgery. The exact type of surgery done varies with each person.

The surgery usually takes less than 30 minutes. Usually both eyes are done in the same session.

This method of refractive surgery has fewer side effects than radial keratotomy, a method that was common in the 1980s.

Why the Procedure is Performed    Return to top

Refractive surgery is used to treat nearsightedness. You will not need to wear glasses or contact lenses for distance vision after this surgery. Procedures are also available to treat farsightedness and astigmatism.

Risks    Return to top

Your vision may not be completely restored after surgery. This is called under-correction. In some cases, vision may be over-corrected.

After surgery some patients may have:

Before the Procedure    Return to top

You will have a complete eye exam before this procedure. You may be asked to stop wearing your contact lenses about 2 to 4 weeks before this exam.

Tell your doctor about any medical and eye conditions you may have. Also tell you doctor what medicines you are taking, even drugs, supplements, and herbs you bought without a prescription. Tell your doctor if you have any allergies.

Do not use creams, lotions, makeup, or perfumes for several days before your surgery.

Have somebody else to drive you to surgery, and then home after surgery. Your eyesight may not be clear and you may be sleepy from the medicines you received. Driving may not be safe.

After the Procedure    Return to top

You may wear protective glasses for several days. Full recovery can take several months. You will need to avoid rubbing your eyes or placing pressure on them after your surgery.

You can quickly return to most activities. However, avoid bumping your eyes or putting them under water (swimming, for example) for at least 4 weeks. Sleep on your back to keep pressure off your eyes.

Do not use any lotions, creams, or makeup for up to 2 weeks.

Outlook (Prognosis)    Return to top

The procedure is usually painless. You should have an immediate improvement in vision, but it may take several weeks or months for your vision to become stable.

Most people who have this procedure will have close to 20/20 vision without glasses. About 10% of the people who have this surgery (10 out of 100) will still need glasses or contact lenses. Serious complications that make vision worse after this surgery are very rare.

People who needed bifocals before surgery will still need reading glasses after the procedure.

References    Return to top

Yanoff M, Duker JS, Augsburger JJ, et al. Ophthalmology. 2nd ed. St. Louis, Mo: Mosby; 2004:127-132.

Schallhorn SC. Avoidance, recognition, and management of LASIK complications. Am J Ophthalmol. Apr 2006; 141(4): 733-9.

US Food and Drug Administration: Center for Devices and Radiological Health. Lasik eye surgery. Updated September 18, 2008.

Update Date: 2/17/2009

Updated by: Paul B. Griggs, MD, Department of Ophthalmology, Virginia Mason Medical Center, Seattle , WA . Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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