TY - JOUR
T1 - Characteristics of sixty myopic eyes with pre-laser in situ keratomileusis retinal examination and post-laser in situ keratomileusis retinal lesions
AU - Chan, Clement K.
AU - Arevalo, Fernando F.
AU - Akbatur, Haluk H.
AU - Sengün, Ahmet
AU - Yoon, Young Hee
AU - Lee, Geun Jang
AU - Tarasewicz, Dariusz G.
AU - Lin, Steven G.
N1 - Retina. 24(5):706-713, OCTOBER 2004 PMID: 15492623 Issn Print: 0275-004X Publication Date: October 2004 CLEMENT CHAN;J AREVALO;H AKBATUR;AHMET SENGÜN;YOUNG YOON;GEUN LEE;DARIUSZ TARASEWICZ;STEVEN LIN; Checking for direct PDF access through Ovid A survey of eyes with pre-laser in situ keratomileusis (LASIK) retinal examinations and characteristics of post-LASIK retinal breaks and retinal detachments (RDs).
PY - 2004/10
Y1 - 2004/10
N2 - 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 (≤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, x2, 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.
AB - 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 (≤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, x2, 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.
KW - Distributions of retinal breaks and detachment
KW - Extent of retinal detachment
KW - Laser in situ keratomileusis
KW - Lattice degeneration
KW - Multiple breaks
KW - Myopia
KW - Post-LASIK vitreoretinal complications
KW - Single breaks
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U2 - 10.1097/00006982-200410000-00004
DO - 10.1097/00006982-200410000-00004
M3 - Review article
C2 - 15492623
SN - 0275-004X
VL - 24
SP - 706
EP - 713
JO - Retina
JF - Retina
IS - 5
ER -