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Macular hole in a myopic eye after laser in situ keratomileusis
José Ma Ruiz-Moreno1, Alberto Artola, Juan J Pérez-Santonja
1Department of Ophthalmology, Miguel Hernández University School of Medicine, Alicante, Spain. jm.ruiz@umh.es
Purpose:
To analyze the characteristics of a macular hole in a myopic patient after laser in situ keratomileusis (LASIK).
Methods:
A macular hole with sharp margins and small yellow deposits on the surface of the retinal pigment epithelium appeared in the left eye of a female patient, 53 years old, 12 months after LASIK for the correction of -6.75 D of myopia (follow-up after LASIK, 22 months). Best spectacle-corrected visual acuity (BSCVA) before LASIK was 20/25. BSCVA after LASIK was 20/20 (spherical equivalent refraction -1.00 D). After the macular hole appearance, BSCVA was 20/100. The macular hole was treated by vitrectomy with internal-limiting membrane peeling. Final BSCVA was 20/50.
Conclusion:
The role of LASIK in the pathogenesis of macular hole remains unclear.