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Relationships between vitreoretinal and refractive surgery
1Vitreoretinal Service, Casa di Cura S. Anna, Brescia, Italy.
Objective:
To describe retinal complications after posterior chamber phakic intraocular lens (PCPIOL) implantation and refractive surgery complications after scleral buckling surgery.
Design:
Retrospective, noncomparative, small case series.
Participants:
Four patients in whom retinal detachment developed after PCPIOL implantation and two patients with previously placed encircling scleral buckles in whom corneal steepening developed after laser in situ keratomileusis (LASIK).
Intervention:
The four patients with retinal detachment after PCPIOL implantation underwent vitreoretinal surgery. One of the two patients in whom corneal steepening developed after LASIK underwent buckle removal.
Main Outcome Measures:
The main parameters evaluated were vitreoretinal findings, corneal topography, and pachymetry.
Results:
Retinal attachment was achieved for all patients. Mean postoperative best-corrected visual acuity (BCVA) was 20/30. One patient lost one line of BCVA. One patient with corneal steepening achieved partial corneal flattening after buckle removal.
Conclusions:
Vitreous base stimulation related to PCPIOL implantation and manipulation during LASIK may trigger retinal complications. Laser in situ keratomileusis in patients with previously placed scleral buckles may result in unexpected corneal steepening.