Laser in situ keratomileusis–induced optic neuropathy☆
Section snippets
Case report
A 39-year-old Latin American man complained of a pitch black area in the lower vision of his right eye for 5 months before presentation. He first noticed the loss of vision on the day after bilateral LASIK surgery. He described a dark shadow in his vision in the right eye, which initially progressed over 2 months but that had stabilized by the time of presentation. He also noted a hazy quality of vision in both eyes immediately after LASIK surgery, which had cleared by 2 months postoperatively.
Discussion
We report the case of a patient who had a dramatic subjective decrease in vision after apparently uncomplicated and successful LASIK surgery for moderate myopia. We have documented bilateral optic neuropathy where the preoperative examination was documented as normal. The neuropathy manifested with relative afferent pupillary defect, deep cupping of the optic nerve, focal changes in the neuroretinal rim, decreased thickness of the retinal nerve fiber layer, and nerve fiber bundle-type scotomas
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The authors have no commercial interest related to this article.