Rhegmatogenous retinal detachment in myopic eyes after laser in situ keratomileusis: Frequency, characteristics, and mechanism
To report the characteristics and frequency of rhegmatogenous retinal detachment (RRD) after laser in situ keratomileusis (LASIK) for the correction of myopia in a large case series. Private practices, Caracas, Venezuela. Five refractive surgeons and 31 739 myopic eyes that had surgical correction o...
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Published in | Journal of cataract and refractive surgery Vol. 27; no. 5; pp. 674 - 680 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.05.2001
Elsevier Science |
Subjects | |
Online Access | Get full text |
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Summary: | To report the characteristics and frequency of rhegmatogenous retinal detachment (RRD) after laser in situ keratomileusis (LASIK) for the correction of myopia in a large case series.
Private practices, Caracas, Venezuela.
Five refractive surgeons and 31 739 myopic eyes that had surgical correction of a mean myopia of –6.01 diopters (D) (range −0.75 to −29.00 D) participated in this study. Laser in situ keratomileusis was performed in all eyes. Patients were followed for a mean of 36 months (range 6 to 48 months). The clinical charts of patients who developed RRD after LASIK were reviewed.
Twenty eyes (17 patients) developed RRD after LASIK. Rhegmatogenous retinal detachments occurred a mean of 13.9 months (range 1 to 36 months) after LASIK. The mean pre-LASIK myopia in eyes that developed an RRD was –7.02 D (range –1.50 to –16.00 D). Most RRDs and retinal breaks occurred in the temporal quadrants (71.4%). Rhegmatogenous retinal detachments were managed with vitrectomy, cryoretinopexy, scleral buckling, argon laser retinopexy, or pneumatic retinopexy techniques. The frequency of RRD after LASIK was 0.06%.
Rhegmatogenous retinal detachment after LASIK for the correction of myopia is infrequent. If managed promptly, RRD will result in good vision. Before LASIK is performed, patients should have a thorough dilated indirect fundoscopy with scleral depression and treatment of any retinal lesion predisposing to the development of an RRD. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0886-3350 1873-4502 |
DOI: | 10.1016/S0886-3350(01)00821-5 |