CHARACTERISTICS OF SIXTY MYOPIC EYES WITH PRE-LASER IN SITU KERATOMILEUSIS RETINAL EXAMINATION AND POST-LASER IN SITU KERATOMILEUSIS RETINAL LESIONS
| Autor: | H Haluk Akbatur, D G Tarasewicz, Young Hee Yoon, Clement K. Chan, Ahmet Sengün, J. Fernando Arevalo, Steven G. Lin, Geun Jang Lee |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity Adolescent genetic structures medicine.medical_treatment Keratomileusis Laser In Situ Keratomileusis Diagnostic Techniques Ophthalmological Cornea chemistry.chemical_compound Postoperative Complications Optics Retinal Examination Vitrectomy Ophthalmology Myopia medicine Humans Dioptre Retrospective Studies business.industry Retinal Detachment LASIK Retinal General Medicine Middle Aged Retinal Perforations medicine.disease eye diseases Scleral Buckling chemistry Cryotherapy Lattice degeneration Tears Female Laser Therapy sense organs medicine.symptom business |
| Zdroj: | Retina. 24:706-713 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/00006982-200410000-00004 |
| Popis: | PURPOSE A survey of eyes with pre-laser in situ keratomileusis (LASIK) retinal examinations and characteristics of post-LASIK retinal breaks and retinal detachments (RDs). METHODS A survey of worldwide vitreoretinal surgeons (424 physicians). Surveyed information included demographics, best-corrected visual acuity, degree of myopia, pre- and post-LASIK retinal findings, follow-up time, and treatment outcome. RESULTS Sixty eyes with pre-LASIK retinal examinations developed post-LASIK retinal breaks and RDs. There was an average of 2.3 breaks per eye, yielding a total of 140 breaks in the 60 eyes. Forty eyes also had RDs besides the retinal breaks. Large percentages of eyes had substantial myopia (mean myopia, -9.5 +/- 5.8 diopters [D]) and complex vitreoretinal complications. Forty percent developed vitreoretinal complications within 6 months after LASIK. The 20 eyes that developed more extensive RDs (>3 clock hours) had a significantly higher mean myopia than did the 6 eyes that developed limited RD (< or = 3 clock hours) within 12 months after LASIK (-8.92 +/- 6.82 D versus -3.50 +/- 1.97 D, P = 0.03). There were significant statistical differences in distribution of retinal breaks and tears between the temporal and nasal quadrants (P < 0.001, P < 0.001, respectively, chi2, but not between the superior and inferior quadrants. CONCLUSION Distributions of retinal breaks in this study were comparable with results found in non-LASIK eyes in young myopes. Treatment for post-LASIK vitreoretinal complications was highly successful. The vulnerability of such highly myopic eyes for vitreoretinal complications warrants their close monitoring. |
| Databáze: | OpenAIRE |
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