Radial keratotomy FAQs with Dr. Gulani

Описание: Dr. Gulani’s patient (a Nurse) after successful correction of her #radialkeratotomy cataract to 20/20 vision asks him to explain regarding some questions she has for her fellow #rk radial keratotomy patients, and As usual being the universal teacher that he is, he speaks impromptu and explains from the extensive depth of his knowledge with decades of experience, from the bottom of his heart.
Some take home points
1. Radial keratotomy eyes are not like normal eyes and deserve an in-depth study of every element from the tear film, to the layers of cornea, to the lens, and their cohesive working to custom design surgical plans to their vision endpoints.
2.A surgeon needs to be fully equipped in techniques and technologies to manage every level of issues of Radial Keratotomy eyes including dry eyes, LaZrPlastique® techniques for anterior cornea, DMEK/DSAEK techniques for posterior cornea like Fuchs dystrophy, Corneoplastique® based partial lamellar and full thickness corneal transplants,, Anterior segment reconstructive surgical techniques, and Artistic cataract surgical techniques based on LenzOplastique® principles including lens implant Piggyback and exchanging abilities while being deeply knowledgeable of which Premium lens implant can work in such eyes.
3.Light adjustable lens implants are a wonderful technology but Dr.Gulani believes it should not be randomly used in radial keratotomy eyes to make up for surgeon’s lack of experience and accuracy.
4. Undergoing any advertised or hyped corneal procedure that does not address the patient’s cataract surgical destiny will only make the patient temporarily happy while leading them to a future dead-end for vision without glasses or contact lenses.
5. Scleral contact lenses are an important supportive care but not to be used as the first line of treatment for radial keratotomy eyes (think using a crutch to walk while not correcting the fractured leg) since though the patient may see with these lenses the radial keratotomy cornea underneath undergoes further degeneration and damage over time. They are a helpful technology for post surgical correction of RK eyes for any residual visual error.
6. Radial keratotomy patients should understand that their eyes are unique with not one, but multiple levels of anatomical, optical and physiological complexities which must be understood rather than undergoing hyped techniques or procedures that then leave the patients hanging for the rest of their lives.
7. Even if any patient has by mistake had a wrong corneal surgery or even a wrong cataract surgery or had complications or side effects from any surgery they can be helped.


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