Treating myopia

doi:10.1136/bmj.311.6996.58

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William Jory

Consultant ophthalmologist London Centre for Refractive Surgery, London W1N 1PD

Incisional keratotomy has a safer track record than photorefractive keratectomy

EDITOR,--David S Gartry's review restores some balance to the debate about photorefractive keratectomy, emphasising that such surgery must be predictable, effective, and safe with a low incidence of complications.1 The excimer laser was introduced to treat myopia in the expectation that photoreactive keratectomy would surpass incisional keratotomy (microsurgery: the safer American development of Russian radial keratotomy) in predictability. This has not happened since a greater degree of remodelling is …