A 74-year-old male complained of poor vision and diplopia as a result
of cataract extraction and intraocular lens implantation. On refractio
n, we found -6.25 diopters (D) of myopia in his right eye. The patient
, dissatisfied with wearing contact lenses and spectacles to correct v
ision, opted to have refractive corneal surgery. We performed a four-i
ncision radial keratotomy with a 4 mm clear zone. This resulted in a 3
.75 D (-2.5 D residual myopia) reduction in myopia at two months of fo
llow-up. Our results indicate that radial keratotomy may be useful for
correcting unacceptable myopia in older patients.