Laser in situ keratomileusis to correct myopia after scleral buckling for retinal detachment

We describe 5 patients with a previously placed encircling scleral buckle for a retinal detachment who had laser in situ keratomileusis (LASIK) to correct myopia. Uncorrected (UCVA) and best corrected visual acuity, ultrasound pachymetry before and 6 months after LASIK, and development of intraoperative or postoperative complications were measured. In all patients, the UCVA improved and the myopic spherical equivalent decreased after the procedure. The mean ultrasonic pachymetry after LASIK was 413 microm +/- 23.1 (SD) (range 380 to 436 microm). No patient had difficulties with LASIK or postoperative complications. To correct myopia in eyes with a previous scleral buckle, LASIK was a feasible and relatively safe procedure.