Retinal detachment following excimer laser
a Moorfields Eye Hospital, City Road, London EC1V 2PD, b Manchester Royal Eye
Hospital, Oxford Road, Manchester M13 9WH
Correspondence to: Mr D G Charteris, Moorfields Eye Hospital, City Road, London EC1V 2PD.
Accepted for publication 27 May
1997
AIMS
To report the clinical presentation, surgical
management, and outcome of retinal detachment following excimer laser.
METHODS
Retrospective analysis of retinal
detachments observed in 11 eyes of 10 myopic patients who had
previously undergone photorefractive keratectomy (PRK) or
phototherapeutic keratectomy (PTK) by excimer laser.
RESULTS
Symptoms of visual loss in two eyes were
initially attributed to corneal haze. In 10 of 11 eyes visualisation of
the retinal detachment and causative break was possible despite mild
corneal haze and optical aberrations caused by the refractive laser
procedure. Retinal reattachment was achieved in all 11 eyes though one
eye required four surgical interventions.
CONCLUSION
This is the first published report to
describe an association between retinal detachment and previous excimer
laser treatment. The association would appear to reflect the
predisposition of myopes to retinal detachment. Clinicians should be
aware of potential retinal pathology in patients undergoing PRK.
© 1997 by British Journal of Ophthalmology
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[Abstract] [Full Text]
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