Retinal complications after laser-assisted in situ keratomileusis (LASIK)

Current Opinion in Ophthalmology

Volumn 15, Issue 3, 2004, Pages 184-191

  Arevalo, J Fernando ^a  

^a Clinica Oftalmologica Centro Caracas   (Venezuela)

Author keywords

Choroidal neovascularization; Macular hemorrhage; Macular hole; Retinal breaks; Retinal detachment

Indexed keywords

BENZOPORPHYRIN DERIVATIVE;

CORNEA; CORNEA PERFORATION; CORNEAL FLAP DISPLACEMENT; DISEASE EXACERBATION; EYE INJURY; HUMAN; HYPERMETROPIA; INCIDENCE; INTRAOCULAR PRESSURE; KERATOMILEUSIS; LASER COAGULATION; LASER SURGERY; MYDRIASIS; MYOPIA; OPHTHALMOSCOPY; PENETRATING KERATOPLASTY; PHOTODYNAMIC THERAPY; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; REFRACTIVE SURGERY; RETINA DETACHMENT; RETINA DISEASE; RETINA MACULA DEGENERATION; RETINA MACULA HEMORRHAGE; RETINA MACULA HOLE; RETINA TEAR; REVIEW; SKIN FLAP; SUBRETINAL NEOVASCULARIZATION; SUTURE; TREATMENT CONTRAINDICATION; TREATMENT OUTCOME; VISUAL ACUITY; VITRECTOMY; VITREORETINOPATHY;

HUMANS; KERATOMILEUSIS, LASER IN SITU; POSTOPERATIVE COMPLICATIONS; RETINAL DISEASES;

EID: 2442476452     PISSN: 10408738     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.icu.0000120674.27548.9c     Document Type: Review

References (49)

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26. Arevalo JF, Ramirez E, Suarez E, et al.: Retinal detachment in myopic eyes after laser in situ keratomileusis. J Refract Surg 2002, 18:708-714. The authors report the characteristics and surgical outcomes of RRD in myopic eyes after LASIK. Thirty-three eyes (27 patients; frequency 0.08% [33/38,823]) developed RRD after LASIK. Information regarding visual acuity after LASIK and before the development of RRD was available in 24 eyes; 45.8% (11/24 eyes) lost two or more lines of visual acuity after vitreoretinal surgery.
27. Ruiz-Moreno JM, Alio JL: Incidence of retinal disease following refractive surgery in 9,239 eyes. J Refract Surg 2003, 19:534-547. The authors studied retinal disease observed in 9239 consecutive eyes after refractive surgery (including LASIK). Retinal detachment occurred at a mean 24.6 ± 20.4 months after LASIK in 11 eyes (0.36%), and choroidal neovascularization occurred a mean 30.2 ± 19.3 months after LASIK in 10 eyes (0.33%). A macular hole developed in one patient 12 months after LASIK and a macular hemorrhage developed in another patient immediately after LASIK.
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30. Ruiz-Moreno JM, Montero J, Alio JL: Lacquer crack formation after LASIK. Ophthalmology 2003, 110:1669-1671. The authors described the characteristics and potential mechanisms of a macular lacquer crack in a myopic patient corrected by LASIK. In this case, subretinal bleeding signals the development of a rupture of Bruch membrane. The risk of developing lacquer cracks in highly myopic patients corrected by LASIK, although uncommon, must be kept in mind.
31. Maturi RK, Kitchens JW, Spitzberg DH, et al.: Choroidal neovascularization after LASIK. J Refract Surg 2003, 19:463-464. The authors described the potential mechanism of a macular lacquer crack, and the subsequent development of subfoveal choroidal neovascularization in a patient with myopia corrected by LASIK.
32. Deleted in proofs.
33. Ruiz-Moreno JM, Perez-Santonja JJ, Alio JL: Choroidal neovascularization in myopic eyes after laser-assisted in situ keratomileusis. Retina 2001, 21:115-120.
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35. Scupola A, Mosca L, Balestrazzi A, et al.: Choroidal neovascularization after laser-assisted in situ keratomileusis following penetrating keratoplasty. Graefes Arch Clin Exp Ophthalmol 2003, 241:682-684. The authors report a case of CNV after LASIK following penetrating keratoplasty. Photodynamic therapy was performed in right eye (RE); 1 year later BCVA was stable at 20/200.
36. Arevalo JF, Ruiz-Moreno JM, Fernandez CF, et al.: Photodynamic therapy (PDT) with verteporfin for subfoveal choroidal neovascular membranes in highly myopic eyes after laser-assisted in situ keratomileusis (LASIK). Ophthalmic Surg Lasers Imaging 2004, 35:58-62. The authors report the management of subfoveal CNV in highly myopic eyes after LASIK with PDT. Five cases of CNV after LASIK for the correction of myopia (mean: 13.3 D; range: -8.00 D to -16.25 D) treated with single or multiple sessions of PDT with verteporfin are presented. Visual acuity improved or remained the same in 80% of cases (four of five eyes).
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40. Belda JI, Ruiz-Moreno JM, Perez-Santonja JJ, et al.: Laser in situ keratomileusis to correct myopia after scleral buckling for retinal detachment. J Cataract Refract Surg 2003, 29:1231-1235. The authors describe five patients with a previously placed encircling scleral buckle for a retinal detachment who had LASIK to correct myopia. In all patients, the uncorrected visual acuity (UCVA) improved and the myopic spherical equivalent decreased after the procedure.
41. Sforza PD, Saffra NA: Laser in situ keratomileusis as treatment for anisome-tropia after scleral buckling surgery. J Cataract Refract Surg 2003, 29:1042-1044. The authors describe symptomatic anisometropia developing in a 53-year-old man after placement of a scleral buckle for repair of a RRD. Thirty-four months after the scleral buckling procedure, LASIK was performed to correct myopic astigmatism with excellent refractive and functional results.
42. Sinha R, Dada T, Verma L, et al.: LASIK after retinal detachment surgery. Br J Ophthalmol 2003, 87:551-553. This is a prospective, noncomparative case series. Ten eyes of nine patients who had a myopic refractive error and had previously undergone retinal detachment surgery underwent LASIK surgery according to the standard surgical protocol. Eight eyes underwent successful LASIK surgery. LASIK may be used to correct refractive errors in eyes that have undergone retinal detachment surgery. However, scarred conjunctiva in such cases may prevent generation of optimal suction for the microkeratome.
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49. Lin SC, Tseng SH: Prophylactic laser photocoagulation for retinal breaks before laser in situ keratomileusis. J Refract Surg 2003, 19:661-665. This study was performed to determine the efficacy and safety of prophylactic laser photocoagulation for retinal breaka in myopic patients (1931 eyes) undergoing LASIK. Retinal breaks were identified and treated in 39 eyes (2.02%). A significantly higher preoperative spherical equivalent refraction was noted in patients with retinal breaks compared with those without. During a mean 19-month follow-up, retinal detachment did not develop in any of the patients (except for one trauma case).