Standing to my left in front is Carlos, a patient who recently visited us from Bogota, Colombia. Over 45 years ago Carlos underwent the very first refractive eye surgical procedure known as “Keratomileusis”. This surgery involved removing the cornea off the eye, freezing it, reshaping it on a special lathe and then placing it back onto the eye. Many years later Carlos underwent another refractive eye surgery known as “Radial Keratotomy” on both eyes. When Carlos’ vision began to fail once again, he underwent LASIK surgery on his right eye and had a corneal transplant operation on his left eye. After many years of suffering from poor vision, we fit both of Carlos’ eyes with scleral lenses which we designed with the aid of computers using proprietary software. Tonight Carlos returned home seeing clearly (20/20) and comfortably for the first time in many years. In this photo, standing on the left is our student extern Roheena Malik. On the extreme right is our other student extern Azalea Garcia. Both Azalea and Roheena will be receiving their doctorate degrees in May. Standing to my right is Carlos’ daughter Tatiana. My staff, students and I feel very honored and privileged to have had the opportunity to help Carlos see clearly once again.
Radial Keratotomy (RK) is considered the grandfather of refractive eye surgery. Although rarely done in North America now, millions of people underwent RK in the 1980’s and 90’s around the world with over a million procedures done in the United States. In addition, hundreds of thousands of LASIK procedures were later done to these same patients in an attempt to undo the damage done by the initial RK surgeries. The vast majority of RK patients regressed. Most became very farsighted and astigmatic and required eyeglasses.
Radial Keratotomy involved the making of small, deep slices into the cornea in an attempt to reduce nearsightedness (myopia) and astigmatism. The long term results of radial keratotomy complications have been truly horrific for hundreds of thousands of people. Many complications occurred years later. These include:
1. Loss of Best Corrected Visual Acuity
2. Double or Triple Vision
3. Irregular Astigmatism
4. Unstable or Fluctuating Vision
5. Severe Dry Eye
6. Halos and Glare and Reduced Night Vision
7. Permanently Open Incisions
8. Recurrent Ocular Infections and Inflammations
9. The Eventual Need For Corneal Transplant Surgery
Over the years, I have seen many RK patients who also underwent additional RK procedures followed by one or more LASIK procedures. In every instance, the additional procedures only made things worse. Many patients eventually needed to undergo corneal transplant surgery. For those patients who underwent RK surgery and are now looking for a doctor and new treatments to allow you to see better, I would encourage you to stay away from any additional invasive procedures including INTACS, PRK and LASIK. In recent years, advances in specialty lenses including Scleral, Synergeyes and other unique lens technologies have become available which will allow you to see clearly and comfortably once again without the risk that invasive surgeries pose. VIRTUALLY EVERY POST-R-K PATIENT WHO HAS VISITED OUR SPECIALTY LENS PRACTICE HAS EXPERIENCED A DRAMATIC IMPROVEMENT IN THEIR VISUAL ACUITY AND OCULAR COMFORT.
Below are photos and images of some of the eyes we have seen in our office which underwent Radial Keratotomy (RK) surgery.
Dr. Edward Boshnick maintains a cutting edge practice devoted to the restoration of vision and comfort lost as a result of refractive eye surgery (including LASIK and Radial Keratotomy), keratoconus, corneal transplant surgery, pellucid marginal degeneration, extreme dry eye, corneal dystrophies, corneal trauma, lasik damage and Stevens-Johnson Syndrome.
A few words about Dr. Edward Boshnick and his eye care practice:
Dr. Edward Boshnick maintains a cutting edge optometric practice covering all types of vision care including non-surgical vision improvement, contact and scleral lens care, children’s vision and vision rehabilitation for the partially sighted. Dr. Boshnick received his B.A. degree from the University of Miami and his Doctorate degree was awarded in Optometry from Southern College of Optometry.