Clinical observation on retinal detachment after LASIK
- VernacularTitle:LASIK术后视网膜脱离的临床观察
- Author:
Bo, QIN
;
Hong-Bo, CHENG
;
Tie-Ying, ZHAO
;
Jian-Rong, HU
- Publication Type:Journal Article
- Keywords:
laser in situ keratomileusis;
myopia;
retinal detachment;
complication
- From:
International Eye Science
2006;6(5):995-998
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To investigate the characteristics and surgical management of retinal detachment (RD) after laser-assisted in situ keratomileusis (LASIK) in myopia.METHODS: Documents of patients with RD observed in 18342 eyes (9 598 patients) who underwent LASIK were retrospectively reviewed. None of the patients had history of corneal or other diseases before LASIK and preoperative fundus examination was performed. Patients were followed for a mean of 20 months and the clinical features of the eyes which developed RD after LASIK were investigated.RESULTS: Six patients including 2 males and 4 females developed RD, and the incidence of RD after LASIK was 0.33‰. Mean pre-LASIK myopia in these 6 eyes was 9.33D.None of these eyes had prophylactic treatment history of any retinal lesions. Mean time interval between LASIK and RD development was 9.2 months. All RDs happened spontaneously and were managed with vitrectomy and other techniques.Retinal reattachment was achieved at the first retinal detachment surgery in all 6 eyes (100%) at mean follow-up of 9.3months.CONCLUSION: RD after LASIK is not common. The study suggests no cause-effect relationship between RD and LASIK procedure in myopic eyes. However, clinicians should still be aware of retinal pathology in patients undergoing LASIK.