Incidence of vitreoretinal pathologic conditions within 24 months after laser in situ keratomileusis
| Autor: | Cortez R, J Tugues, J F Arevalo, J Morales-Stopello, D Fuenmayor-Rivera, Jorge Rodriguez, G Ramirez, E Ramirez, E Suarez, Antzoulatos G |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male In situ medicine.medical_specialty Refractive error Adolescent genetic structures medicine.medical_treatment Eye disease Keratomileusis Laser In Situ Keratomileusis Vitrectomy Cryosurgery law.invention Cornea Retinal Diseases law Ophthalmology Microkeratome medicine Humans Fluorescein Angiography Rupture business.industry Incidence (epidemiology) LASIK Retinal detachment General Medicine Middle Aged Laser medicine.disease eye diseases Refractive Surgical Procedures Vitreous Hemorrhage Surgery Scleral Buckling Vitreous hemorrhage Female Laser Therapy sense organs business Sclera Corneal Injuries |
| Zdroj: | Ophthalmology. 107:258-262 |
| ISSN: | 0161-6420 |
| DOI: | 10.1016/s0161-6420(99)00078-0 |
| Popis: | Objective To report for the first time a case series of vitreoretinal pathologic conditions after laser in situ keratomileusis (LASIK) and to determine its incidence. Design Case series. Participants Five refractive surgeons and 29,916 eyes that underwent surgical correction of ametropia (83.2% were myopic) ranging from −0.75 to −29.00 diopters (D; mean: −6.19 D) and from +1.00 to +6.00 D (mean: +3.23 D) participated in this retrospective study. Main outcome measures Vitreoretinal complications after LASIK. Results The clinical findings of 20 eyes (17 patients) with LASIK-related vitreoretinal pathologic conditions are presented. Fourteen eyes experienced rhegmatogenous retinal detachments (RDs). Two eyes experienced corneoscleral perforations with the surgical microkeratome when a corneal flap was being performed (one experienced a vitreous hemorrhage and the other later experienced an RD). In four eyes, retinal tears without RDs were found. In one eye, a juxtafoveal choroidal neovascular membrane (CNVM) developed. Retinal tears were treated with argon laser retinopexy or cryotherapy. Corneoscleral perforations were sutured, and the RD was managed with vitrectomy. The remaining RDs were managed with vitrectomy, cryoretinopexy, scleral buckling, argon laser retinopexy, or pneumatic retinopexy techniques. The CNVM was surgically removed. The incidence of vitreoretinal pathologic conditions determined in our study was 0.06%. Conclusions Serious complications after LASIK are infrequent. Vitreoretinal pathologic conditions, if managed promptly, will still result in good vision. It is very important to inform patients that LASIK only corrects the refractive aspect of myopia. Complications of the myopic eye will persist. |
| Databáze: | OpenAIRE |
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