SCIENTIFIC REPORT

Vitreoretinal surgery for macular hole after laser assisted in situ keratomileusis for the correction of myopia

J F Arevalo¹, F J Rodriguez², J L Rosales-Meneses³, A Dessouki⁴, C K Chan⁵, R A Mittra⁶ and J M Ruiz-Moreno⁷

¹ Retina and Vitreous Service, Clinica Oftalmologica Centro Caracas, Caracas, Venezuela
² Fundacion Oftalmologica Nacional (Fundonal), Bogota, Colombia
³ Unidad Oftalmologica y de Cirugia Vitreo-Retina La Colina, San Cristobal, Venezuela
⁴ Retinal Diagnostic Center, Campbell, CA, USA
⁵ Southern California Desert Retina Consultants, Palm Springs, CA, USA
⁶ VitreoRetinal Surgery, PA Minneapolis, MN, USA
⁷ The Vitreo-Retinal Unit, Instituto Oftalmologico Alicante and Miguel Hernandez University School of Medicine, Alicante, Spain

Correspondence to:
Correspondence to:
J Fernando Arevalo
MD, Clinica Oftalmologica Centro Caracas, Centro Caracas PH-1, Av Panteon, San Bernardino, Caracas 1010, Venezuela; areval1{at}telcel.net.ve

Ams: To describe the characteristics and surgical outcomes of full thickness macular hole surgery after laser assisted in situ keratomileusis (LASIK) for the correction of myopia.

Methods: 13 patients (14 eyes) who developed a macular hole after bilateral LASIK for the correction of myopia participated in the study.

Results: Macular hole formed 1–83 months after LASIK (mean 13 months). 11 out of 13 (84.6%) patients were female. Mean age was 45.5 years old (25–65). All eyes were myopic (range –0.50 to –19.75 dioptres (D); mean –8.4 D). Posterior vitreous detachment (PVD) was not present before and was documented after LASIK on 42.8% of eyes. Most macular hole were unilateral, stage 4 macular hole, had no yellow deposits on the retinal pigment epithelium, had no associated epiretinal membrane, were centric, and had subretinal fluid. The mean diameter of the hole was 385.3 µm (range 200–750 µm). A vitrectomy closed the macular hole on all eyes with an improvement on final best corrected visual acuity (VA) on 13 out of 14 (92.8%) patients.

Conclusions: This study shows that vitreoretinal surgery can be successful in restoring vision for most myopic eyes with a macular hole after LASIK.

Abbreviations: IC, indocyanine; LASIK, laser assisted in situ keratomileusis; OCT, optical coherence tomography; PRK, photorefractive keratectomy; PVD, posterior vitreous detachment; VA, visual acuity

Keywords: LASIK; macular hole; myopia; vitreoretinal surgery

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