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- W2078113224 abstract "The problem of decreasing the total re fraction of the myopic eye may be ap proached in three ways: First, the length of the physiologic axis of the globe may be altered, but this is not practiced at present and is not likely to be in the future. Secondly, Fukala's method of lens extir pation is already in use, but indications for this procedure do not apply even to one half of one percent of all cases of myopia. Thirdly, there seems no alternative method other than changing the refractive power of the cornea, and the present communication reports the results of 32 cases of myopia treated by appropriate anterior and posterior corneal incisions. This new concept was de veloped from our clinical studies' and from experimental research on animals' as well. It is designed to reduce the refrac tive power of the eye. It was found that scars produced by an terior (or surface) and posterior incisions in the extrapupillary areas of the cornea re sulted in a lengthening of the radius of the corneal curvature overlying the pupil, there by decreasing its refractive power. The pres ent method was attempted on the human eye after sufficient encouragement had been obtaind from experimental studies on the rab bit eye. Scarification of the anterior corneal layers in the extrapupillary zone produced, in the rabbit eye, weak and impractical changes in the refractivity of the cornea. Since simi larly accomplished incisions into the pos terior corneal layers produced a maximum hypermetropic effect of two diopters, it seemed possible, therefore, to utilize this method in cases of mild myopia. (These" @default.
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- W2078113224 date "1953-06-01" @default.
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- W2078113224 title "A new Surgical Approach to Myopia*" @default.
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- W2078113224 doi "https://doi.org/10.1016/0002-9394(53)90183-4" @default.
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