Characteristics of sixty myopic eyes with pre-laser in situ keratomileusis retinal examination and post-laser in situ keratomileusis retinal lesions

Clement K. Chan, Fernando F. Arevalo, Haluk H. Akbatur, Ahmet Sengün, Young Hee Yoon, Geun Jang Lee, Dariusz G. Tarasewicz, Steven G. Lin

Research output: Contribution to journalReview articlepeer-review

12 Scopus citations


Purpose: A survey of eyes with pre-laser in situ keratomileusis (LASIK) retinal examinations and characteristics of post-LASIK retinal breaks and retinal detachments (RDs). Methods: A survey of worldwide vitreoretinal surgeons (424 physicians). Surveyed information included demographics, best-corrected visual acuity, degree of myopia, pre- and post-LASIK retinal findings, follow-up time, and treatment outcome. Results: Sixty eyes with pre-LASIK retinal examinations developed post-LASIK retinal breaks and RDs. There was an average of 2.3 breaks per eye, yielding a total of 140 breaks in the 60 eyes. Forty eyes also had RDs besides the retinal breaks. Large percentages of eyes had substantial myopia (mean myopia, -9.5 ± 5.8 diopters [D]) and complex vitreoretinal complications. Forty percent developed vitreoretinal complications within 6 months after LASIK. The 20 eyes that developed more extensive RDs (>3 clock hours) had a significantly higher mean myopia than did the 6 eyes that developed limited RD (≤3 clock hours) within 12 months after LASIK (-8.92 ± 6.82 D versus -3.50 ± 1.97 D, P = 0.03). There were significant statistical differences in distribution of retinal breaks and tears between the temporal and nasal quadrants (P < 0.001, P < 0.001, respectively, x2, but not between the superior and inferior quadrants. Conclusion: Distributions of retinal breaks in this study were comparable with results found in non-LASIK eyes in young myopes. Treatment for post-LASIK vitreoretinal complications was highly successful. The vulnerability of such highly myopic eyes for vitreoretinal complications warrants their close monitoring.

Original languageEnglish (US)
Pages (from-to)706-713
Number of pages8
Issue number5
StatePublished - Oct 2004
Externally publishedYes


  • Distributions of retinal breaks and detachment
  • Extent of retinal detachment
  • Laser in situ keratomileusis
  • Lattice degeneration
  • Multiple breaks
  • Myopia
  • Post-LASIK vitreoretinal complications
  • Single breaks

ASJC Scopus subject areas

  • Ophthalmology


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