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LASIK after retinal detachment surgery.

Mohsen Farvardin1, Majid Farvardin, Hamid Hosseini

  • 1Department of Ophthalmology, Shiraz University of Medical Sciences, Shiraz, Iran.

Acta Ophthalmologica Scandinavica
|May 18, 2006
PubMed
Summary
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Laser in situ keratomileusis (LASIK) is safe and effective for myopia correction in eyes with prior retinal detachment surgery. However, these eyes may experience a higher risk of refractive regression compared to unoperated eyes.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Retinal Surgery

Background:

  • Previous retinal detachment surgery can alter ocular structures.
  • The safety and efficacy of laser in situ keratomileusis (LASIK) in eyes with a history of retinal detachment surgery require investigation.

Purpose of the Study:

  • To compare the safety and efficacy of LASIK for myopia correction in eyes with and without prior retinal detachment surgery within the same individuals.

Main Methods:

  • A prospective clinical trial involving seven myopic patients who underwent LASIK in both eyes, one with prior scleral buckling surgery for retinal detachment and the fellow eye without prior ocular surgery.
  • Visual acuity, refraction, and corneal topography were assessed preoperatively and at 1, 3, 6, and 12 months post-LASIK.
  • Statistical analysis using Student's t-test for match-paired data was employed.

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Main Results:

  • LASIK was successfully performed in all eyes across both groups.
  • Significant improvement in uncorrected visual acuity (UCVA) was observed in all eyes post-LASIK.
  • Eyes with previous retinal detachment surgery showed a statistically significant greater mean change in spherical equivalent (1.7 +/- 1.1 diopters) compared to control eyes (0.6 +/- 0.5 diopters) at 12 months (p = 0.019).

Conclusions:

  • LASIK can be considered a viable treatment option for myopia in eyes that have undergone previous retinal detachment surgery.
  • A potentially higher risk of refractive regression exists in eyes with a history of scleral buckling surgery compared to eyes without such surgical history.