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Published on: September 11, 2013
Rhegmatogenous retinal detachment after LASIK for myopia
Hooshang Faghihi1, Kamran Hodjat Jalali, Ali Amini
1Retina Service, Tehran University of Medical Sciences, Iran.
Summary
Laser eye surgery (LASIK) did not increase the risk of retinal detachment in most patients, but high myopia, older age, and male sex are risk factors. Patients should be informed about potential complications related to myopia.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Retinal Diseases
Background:
- Myopic eyes are predisposed to rhegmatogenous retinal detachment (RRD).
- Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery procedure.
- The risk of RRD after LASIK in myopic eyes requires careful evaluation.
Purpose of the Study:
- To determine the incidence of RRD after LASIK in myopic eyes.
- To identify patient characteristics and risk factors associated with RRD post-LASIK.
Main Methods:
- Retrospective review of medical records for 49 patients who developed RRD after LASIK.
- Calculation of cumulative and yearly incidence rates of RRD.
- Evaluation of potential risk factors including age, sex, and preoperative refractive error.
Main Results:
- The cumulative incidence of RRD was 0.082% and the yearly incidence was 0.032% after LASIK.
- Mean preoperative myopia was -8.6 D; mean age was 38.2 years; 71.4% of affected patients were male.
- Higher preoperative myopia, older age, and male sex were significantly associated with increased RRD risk (P<.001).
Conclusions:
- LASIK does not appear to be an additional risk factor for RRD in patients with treated peripheral retinal lesions.
- Patients with high myopia, older age, and male sex may have an increased risk of RRD post-LASIK.
- Informed consent should include the possibility of RRD as a consequence of underlying myopia.
