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Optic neuropathy associated with laser in situ keratomileusis
1Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Journal of Cataract and Refractive Surgery
|November 21, 2000
Summary
Laser in situ keratomileusis (LASIK) can lead to optic neuropathy, causing vision loss. This condition, potentially linked to increased intraocular pressure during LASIK, often results in optic atrophy and poor visual recovery.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Optic neuropathy is a potential complication following ophthalmic procedures.
Observation:
- Four cases of acute visual loss after LASIK were identified.
- Patients presented with optic neuropathy, including optic disc edema or normal optic discs.
- No significant visual recovery was observed; optic atrophy developed in all affected eyes.
Findings:
- Alternative causes for optic neuropathy were ruled out in all patients.
- The condition was presumed to be ischemic optic neuropathy secondary to LASIK.
- The exact etiology remains unknown but may involve increased intraocular pressure during LASIK.
Implications:
- LASIK may precipitate acute anterior or retrobulbar optic neuropathy.
- Ophthalmologists should be aware of this potential complication.
- Further research is needed to elucidate the underlying mechanisms and preventative strategies.
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