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By default, topics are displayed for the last 45 days. Institution Department of Ophthalmology, University of Texas Health Science Center, San Antonio 78284-7779. This review considers the importance of pupil size when specifying the optical quality or visual performance of eyes following radical keratotomy. Together these five lines of evidence demonstrate that pupil size is a key factor influencing both the optical quality of the eye and visual performance. The Surgical Eyes Foundation.