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Complete bilateral vitreous detachment after LASIK retreatment
Ricardo J Smith1, María B Yadarola, Mario F Pelizzari
1Department of Ophthalmology, Fundación VER, Córdoba, Argentina, Argentina.
Journal of Cataract and Refractive Surgery
|June 5, 2004
Summary
Laser vision correction (LASIK) retreatment can potentially cause posterior vitreous detachment, leading to persistent visual disturbances. This case highlights a possible complication following LASIK enhancement procedures.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- A 47-year-old woman underwent bilateral laser in situ keratomileusis (LASIK) for myopia and astigmatism correction.
- A residual refractive error necessitated a LASIK retreatment procedure.
Observation:
- The patient developed bilateral myodesopsia (floaters) 24 hours after the LASIK retreatment.
- Funduscopic examination and kinetic ultrasound confirmed complete bilateral posterior vitreous detachment.
Findings:
- The posterior vitreous detachment persisted for at least 10 months post-retreatment, causing ongoing visual disturbance.
- Sudden intraocular pressure fluctuations during the LASIK suction ring application are suspected as the causative factor.
Implications:
- This case suggests a potential link between LASIK retreatment and the induction of posterior vitreous detachment.
- Ophthalmologists should consider this complication when evaluating patients with new-onset floaters after refractive surgery.
- Further investigation into the biomechanical effects of LASIK suction on the vitreous humor is warranted.
