Macular Hemorrhage after Laser in Situ Keratomileusis.
- Author:
Heon Seung HAN
1
;
Hyun Young SHIN
;
Hyo Myung KIM
Author Information
1. Department of Opthalmology, College of Medicine, Korea University.
- Publication Type:Original Article
- Keywords:
High myopia;
LASIK;
Macular hemorrhage
- MeSH:
Adult;
Bruch Membrane;
Choroidal Neovascularization;
Female;
Follow-Up Studies;
Hemorrhage*;
Humans;
Keratomileusis, Laser In Situ*;
Myopia;
Myopia, Degenerative;
Pathology;
Refractive Surgical Procedures;
Retinaldehyde;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2000;41(1):264-267
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Macular hemorrhage which result from breaks of Bruch's membrane or from choroidal neovascularization can develop in high degenerative myopia, but its occurrence after photorefractive surgery has rarely been reported. We experienced a case of macular hemorrhage after laser in situ keratomileusis[LASIK]:A 28-year-old female patient with high myopia of -16.5 diopters, who had received successful LASIK operation on her left eye.complained of a sudden drop in vision 20 days postoperatively.On fundus examination, macular hemorrhages were detected on her left eye.Eventually the hemorrhages resolved, but more than 2 lines of her best corrected visual acuity were lost.During follow-up, a new hemorrhagic lesion was incidently found on the other eye. This case demonstrates that macular hemorrhages may develop after LASIK in eyes with high degenerative myopia, and lead to a permanent reduction in visual acuity.We should be alert to any potential retinal pathology in patients having refractive surgery.
