Treatment of retinal detachment after laser in situ kera-tomileusis

VernacularTitle:准分子激光术后视网膜脱离的病例分析
Author: Ling-Yan, CHEN ; Lin, LÜ ; Yong-Hao, LI ; Shi-Yi, LI ; Hui, ZHONG ; Wang, FANG
Publication Type:Journal Article
Keywords: LASIK; retinal detachment; sclera buckling
From: International Eye Science 2011;11(6):947-950
CountryChina
Language:Chinese
Abstract: AIM: To study the characteristics of retinal detachment surgery after laser 　in situ　 keratomileusis (LASIK).METHODS: Eleven eyes of ten patients that experienced rhegmatogenous retinal detachment after LASIK procedure participated in the study. The characteristics of retinal detachment, management and complications after surgery were analyzed . RESULTS: Retinal detachment was characterized by the large percentage of multiple peripheral holes (73%) and giant tears (27%). All eyes underwent sclera buckling, and three of them combined with pars plana vitrectomy (PPV) and silicone oil tamponade. Silicone oil was removed after 1 month. Retina was reattached successfully at the first retinal detachment surgery in all eyes except one that succeeded at the fourth time. One eye of LASIK flap dehiscence and one eye of corneal subepithelial opacity occurred after surgery.CONCLUSION: Patients after LASIK should be carefully examined under pupillary dilation during follow-up. Sclera buckling is necessary to most retinal detachment after LASIK, and corneal protection is important in the treatment.