Relation of pre-LASIK and post-LASIK retinal lesions and retinal examination for LASIK eyes

Br J Ophthalmol. 2005 Mar;89(3):299-301. doi: 10.1136/bjo.2004.048850.

Abstract

Aims: Analysis of highly myopic eyes (mean myopia -11 D) with post-LASIK vitreoretinal complications (breaks, retinal detachment) that also had pre-LASIK vitreoretinal pathology (lattice, breaks).

Methods: Retrospective case series.

Results: 67 eyes in 56 patients with pre-LASIK retinal examination developed post-LASIK vitreoretinal complications. 17 of the 67 eyes (25.4%) had pre-LASIK vitreoretinal pathology. 10 of the 17 eyes that underwent pre-LASIK prophylactic retinal treatment still developed post-LASIK lesions. They developed adjacent to pre-LASIK lesions for 15 of 17 eyes (88.2%), and outside of quadrant(s) of pre-LASIK lesions for five eyes (29.4%).

Conclusion: Pre-LASIK retinal examination may predict locations of certain post-LASIK retinal lesions that may develop in highly myopic eyes with pre-LASIK vitreoretinal pathology, but prophylactic treatment may not prevent all post-LASIK vitreoretinal complications.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Female
  • Humans
  • Keratomileusis, Laser In Situ / adverse effects*
  • Male
  • Middle Aged
  • Myopia / pathology
  • Myopia / surgery*
  • Retina / pathology*
  • Retina / surgery
  • Retinal Perforations / etiology
  • Retinal Perforations / pathology*
  • Retinal Perforations / surgery
  • Retrospective Studies