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Bilateral macular hemorrhage after laser in situ keratomileusis
J D Luna1, V E Reviglio, C P Juárez
1Fundacion VER, Correo Central, Córdoba, Argentina. funver@powernet.com.ar
Background:
This is the first report of a bilateral submacular hemorrhage after LASIK surgery in an extreme myo pic patient. A 31-year-old man underwent bilateral surgery for correction of -16.75+0.75x70 degrees and -16.50+0.50x55 degrees.
Methods:
Case report.
Results:
One day after surgery the patient's uncorrected visual acuity was in the 20/50 range OU and by 17 days after surgery his visual acuity had declined to 20/200 range. Fundus examination showed multifocal subretinal macular and posterior pole hemorrhages. Fluorescein angiography showed some macular lesions compatible with lacquer cracks.
Conclusions:
Preoperative and postoperative fundus examination is important to detect this phenomenon. Patients should be informed of this rare complication.