{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T05:37:58Z","timestamp":1759383478765,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"],"award-info":[{"award-number":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"],"award-info":[{"award-number":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"],"award-info":[{"award-number":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"],"award-info":[{"award-number":["CDA-2-024-10S","P30EY014801","W81XWH-09-1-0675","W81XWH-13-1-0048 ONOVA"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Ophthalmological Medicine"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To describe a case of 3 refractive procedures performed in one eye over 2 decades.<jats:italic>Methods<\/jats:italic>. Case report.<jats:italic>Results<\/jats:italic>. A 41-year-old patient presented for refractive surgery evaluation. His ocular history includes bilateral radial keratotomy performed 21 years ago for moderate myopia: spherical equivalence of \u22124.25\u2009D bilaterally. Postoperative uncorrected visual acuity (UCVA) was 20\/30; however, over time he developed a hyperopic shift and UCVA decreased to 20\/40 in the right eye. Thus, laser-assisted in situ keratomileusis (LASIK) was performed at an outside institution 6.5 years later, and the patient had initial improvement of UCVA to 20\/25. Due to a change in refractive error, the patient underwent uneventful astigmatic keratotomy 13 years after LASIK in the right eye, and 1.5 years after surgery best-corrected visual acuity was 20\/25 with manifest refraction of \u2212<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn>1.00<\/mml:mn><mml:mo>+<\/mml:mo><mml:mn>5.50<\/mml:mn><mml:mo>\u00d7<\/mml:mo><mml:mn>134<\/mml:mn><\/mml:math>\u00b0.\u2009\u2009<jats:italic>Conclusion<\/jats:italic>. We report the outcomes and natural refractive progression in a patient who underwent three corneal refractive procedures over two decades. This case underlines the difficulties of long-term management of post-RK hyperopia and astigmatism.<\/jats:p>","DOI":"10.1155\/2015\/592495","type":"journal-article","created":{"date-parts":[[2015,3,19]],"date-time":"2015-03-19T21:22:05Z","timestamp":1426800125000},"page":"1-4","source":"Crossref","is-referenced-by-count":4,"title":["Long-Term Outcomes of Radial Keratotomy, Laser In Situ Keratomileusis, and Astigmatic Keratotomy Performed Consecutively over a Period of 21 Years"],"prefix":"10.1155","volume":"2015","author":[{"given":"Priyanka","family":"Chhadva","sequence":"first","affiliation":[{"name":"University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Cabot","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL 33136, USA"},{"name":"Ophthalmic Biophysics Center, McKnight Vision Center, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3026-6155","authenticated-orcid":true,"given":"Anat","family":"Galor","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL 33136, USA"},{"name":"Miami Veterans Administration Medical Center, Miami, FL 33125, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia H.","family":"Yoo","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine, Bascom Palmer Eye Institute, Miami, FL 33136, USA"},{"name":"Ophthalmic Biophysics Center, McKnight Vision Center, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"volume-title":"History of refractive surgery","year":"2000","key":"1"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1989.01070010933044"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1994.01090220048022"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(87)80021-0"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1994.01090170058022"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s0886-3350(00)00817-8"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(82)90133-7"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(01)00905-8"},{"issue":"4","key":"10","first-page":"424","volume":"15","year":"1999","journal-title":"Journal of Refractive Surgery"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(97)30182-1"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(03)00482-6"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200405000-00007"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181e16de5"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000044"}],"container-title":["Case Reports in Ophthalmological Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criopm\/2015\/592495.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criopm\/2015\/592495.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criopm\/2015\/592495.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,7,27]],"date-time":"2016-07-27T18:08:46Z","timestamp":1469642926000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/criopm\/2015\/592495\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":14,"alternative-id":["592495","592495"],"URL":"https:\/\/doi.org\/10.1155\/2015\/592495","relation":{},"ISSN":["2090-6722","2090-6730"],"issn-type":[{"type":"print","value":"2090-6722"},{"type":"electronic","value":"2090-6730"}],"subject":[],"published":{"date-parts":[[2015]]}}}