TY - JOUR
T1 - Rhegmatogenous retinal detachment after laser-assisted in situ keratomileusis (LASIK) for the correction of myopia
AU - Arevalo, J. F.
AU - Ramirez, E.
AU - Suarez, E.
AU - Antzoulatos, G.
AU - Torres, F.
AU - Cortez, R.
AU - Morales-Stopello, J.
AU - Ramirez, G.
PY - 2000
Y1 - 2000
N2 - Purpose: To report a case series of rhegmatogenous retinal detachment (RRD) after laser-assisted in situ keratomileusis (LASIK) and its incidence at a mean of 24 months. Methods: The clinical charts of patients who experienced RRD after LASIK were reviewed. Five refractive surgeons and 24,890 myopic eyes that underwent surgical correction of myopia ranging from -0.75 to -29.00 diopters (D) (mean, -6.19 D) participated in this study. Results: Thirteen eyes from 12 patients developed RRD after LASIK. Rhegmatogenous RD occurred between I and 36 months (mean, 12.6 months) after LASIK. Eyes that developed RRD had from -1.50 to -16.00 D of myopia (mean, -6.96 D) before LASIK. Rhegmatogenous RD were managed with vitrectomy, cryoretinopexy, scleral buckling, argon laser retinopexy, or pneumatic retinopexy techniques. The incidence of RRD at a mean of 24 months after LASIK in this study was 0.05%. Conclusions: Rhegmatogenous RD after LASIK is infrequent. If managed promptly, good vision can result. No cause-effect relationship between LASIK and RD can be proved from this study, but the authors recommend that patients scheduled for refragtive surgery undergo a thorough dilated indirect fundus examination with scleral depression and treatment of any retinal lesions predisposing them to the development of RRD before LASIK surgery is performed.
AB - Purpose: To report a case series of rhegmatogenous retinal detachment (RRD) after laser-assisted in situ keratomileusis (LASIK) and its incidence at a mean of 24 months. Methods: The clinical charts of patients who experienced RRD after LASIK were reviewed. Five refractive surgeons and 24,890 myopic eyes that underwent surgical correction of myopia ranging from -0.75 to -29.00 diopters (D) (mean, -6.19 D) participated in this study. Results: Thirteen eyes from 12 patients developed RRD after LASIK. Rhegmatogenous RD occurred between I and 36 months (mean, 12.6 months) after LASIK. Eyes that developed RRD had from -1.50 to -16.00 D of myopia (mean, -6.96 D) before LASIK. Rhegmatogenous RD were managed with vitrectomy, cryoretinopexy, scleral buckling, argon laser retinopexy, or pneumatic retinopexy techniques. The incidence of RRD at a mean of 24 months after LASIK in this study was 0.05%. Conclusions: Rhegmatogenous RD after LASIK is infrequent. If managed promptly, good vision can result. No cause-effect relationship between LASIK and RD can be proved from this study, but the authors recommend that patients scheduled for refragtive surgery undergo a thorough dilated indirect fundus examination with scleral depression and treatment of any retinal lesions predisposing them to the development of RRD before LASIK surgery is performed.
KW - Complications
KW - Laser in situ keratomileusis
KW - Microkeratome
KW - Myopia
KW - Prophylaxis
KW - Retinal breaks
KW - Rhegmatogenous retinal detachment
UR - http://www.scopus.com/inward/record.url?scp=0033635658&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033635658&partnerID=8YFLogxK
U2 - 10.1097/00006982-200004000-00003
DO - 10.1097/00006982-200004000-00003
M3 - Article
C2 - 10950409
AN - SCOPUS:0033635658
SN - 0275-004X
VL - 20
SP - 338
EP - 341
JO - Retina
JF - Retina
IS - 4
ER -