Eye Protection After RK

"It is ironic that those who had RK to have freedom from glasses for life were immediately condemned to wear safety glasses forever."


"Thus, patients who have had refractive incisional keratotomy should not remove eye wear. They may have a greater need for protective eye wear for work or sports than patients who wear contact lenses or do not need glasses. People with conditions that weaken the structure of the globe should not be discouraged from work or sports but should be given advice about the best means of injury prevention and a specific prescription for protective eye wear. There should be an end to the practice of promoting refractive surgery as a means to work or playsports without glasses using advertisements that show people engaged in occupations or sports that have intrinsic eye hazards"' (such as police officers and tennis players) without protective eye wear. Candidates for RK also should be informed of limitations on some employment opportunities, such as enlistment in the Armed Forces, after RK. '

Ruptured Globes Following Radial and Hexagonal Keratotomy Surgery          (Arch Ophthalmol. 1996;114:129-134).

Paul F. Vinger, MD; William F. Mieler, MD; James H. Oestreicher, MD; Michael Easterbrook, MD

"Because RK incisions come to between 1.5 and 2.5 mm of the corneal center, it is not surprising that the traumatic wound from one RK incision sometimes continues across the 3- to 5-mm central clear zone to an incision across the visual axis."

Paul F. Vinger, MD; William F. Mieler, MD; James H. Oestreicher, MD; Michael Easterbrook, MD

"Because of the possibility of ruptured RK incisions or late LASIK flap dislocation, it is essential that players who have had incisional refractive surgery or LASIK be advised to wear protective eyewear for all practices and games. Adequate eye protection, recommended for all basketball players (and absolutely essential for the functionally one-eyed) would be achieved with protectors certified to ASTM F803 for basketball, which has a specification to prevent a finger from contacting the eye with the protector in place."

Paul Vinger MD

The Mechanisms and Prevention of Sports Eye Injuries