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Clinical science
Scientific reports
Relation of pre-LASIK and post-LASIK retinal lesions and retinal examination for LASIK eyes
  1. C K Chan1,2,
  2. D G Tarasewicz1,
  3. S G Lin1
  1. 1Southern California Desert Retina Consultants, Palm Springs, CA, USA
  2. 2Department of Ophthalmology, Loma Linda University, Loma Linda, CA, USA
  1. Correspondence to: Clement K Chan MD Southern California Desert Retina Consultants, PO Box 2467, Palm Springs, CA 92263, USA; Pschanaol.com

Abstract

Aims: Analysis of highly myopic eyes (mean myopia −11 D) with post-LASIK vitreoretinal complications (breaks, retinal detachment) that also had pre-LASIK vitreoretinal pathology (lattice, breaks).

Methods: Retrospective case series.

Results: 67 eyes in 56 patients with pre-LASIK retinal examination developed post-LASIK vitreoretinal complications. 17 of the 67 eyes (25.4%) had pre-LASIK vitreoretinal pathology. 10 of the 17 eyes that underwent pre-LASIK prophylactic retinal treatment still developed post-LASIK lesions. They developed adjacent to pre-LASIK lesions for 15 of 17 eyes (88.2%), and outside of quadrant(s) of pre-LASIK lesions for five eyes (29.4%).

Conclusion: Pre-LASIK retinal examination may predict locations of certain post-LASIK retinal lesions that may develop in highly myopic eyes with pre-LASIK vitreoretinal pathology, but prophylactic treatment may not prevent all post-LASIK vitreoretinal complications.

  • BCVA, best corrected visual acuities
  • LASIK, laser assisted in situ keratomileusis
  • PVA, posterior vitreous attachment
  • PVD, posterior vitreous detachment
  • RD, retinal detachments

https://doi.org/10.1136/bjo.2004.048850

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    Footnotes

    • The authors have no financial or proprietary interest in any products or techniques mentioned in this study