Corneal Refractive Surgery in Patients with History of Optic Neuritis
| Autor: | Steven H Linn, Phillip C Hoopes, Yasmyne C Ronquillo, Jackson L. Goldberg, William D. Wagner, Aaron T Gomez, Majid Moshirfar, Tanner W. Brown |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Optic Neuritis Visual acuity genetic structures PRK medicine.medical_treatment Population Keratomileusis LASIK Multiple sclerosis 03 medical and health sciences 0302 clinical medicine lcsh:Ophthalmology Refractive surgery Ophthalmology medicine In patient Optic neuritis education education.field_of_study business.industry medicine.disease eye diseases Photorefractive keratectomy Laser vision surgery lcsh:RE1-994 030221 ophthalmology & optometry Original Article sense organs medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Ophthalmic & Vision Research Journal of Ophthalmic & Vision Research, Vol 14, Pp 436-441 (2019) |
| ISSN: | 2008-322X 2008-2010 |
| DOI: | 10.18502/jovr.v14i4.5445 |
| Popis: | Purpose: The purpose of this study was to evaluate the risk of recurrence of optic neuritis after corneal refractive surgery in patients with a history of optic neuritis and to examine the safety and efficacy of the procedure in this population. Methods: This was a retrospective chart review of patients with a history of optic neuritis who underwent laser-assisted in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK) at a single tertiary center from June 1996 to December 2014. Fifteen eyes of 14 patients were included in this study. Visual acuity before and after the surgery was recorded. Patients were followed-up for over five years postoperatively for the recurrence of optic neuritis. Results: The average LogMAR best corrected visual acuity (BCVA) preoperatively was 0.12 ± 0.19 (–0.10 to 0.60) and postoperatively was 0.06 ± 0.10 (–0.10 to 0.30). No eyes lost lines of BCVA. The average LogMAR uncorrected distance visual acuity (UDVA) after surgery was 0.12 ± 0.13 (0.00 to 0.48). Twenty-eight percent of patients reached a UDVA of 20/20 or better after refractive surgery. Optic neuritis recurred in 3/15 (20%) eyes and 3/14 patients (21%). Conclusion: While corneal refractive procedures appear safe in patients with a history of optic neuritis, our data suggest that their efficacy may be reduced. |
| Databáze: | OpenAIRE |
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