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Updated: Jul 12, 2026
07:22
Quantitative Fundus Autofluorescence for the Evaluation of Retinal Diseases
Published on: March 11, 2016
Importance of fundoscopy in refractive surgery
Janice Brady1, Michael O'Keefe, Dara Kilmartin
1Department of Refractive Surgery, Mater Private Hospital, Royal Victoria Eye and Ear Hospital, Dublin, Ireland.
Journal of Cataract and Refractive Surgery
|August 28, 2007
Summary
Retinal lesions requiring intervention occurred in 1.1% of patients undergoing refractive laser surgery. Postoperative outcomes were excellent, with no retinal detachments observed after the procedure.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Refractive Surgery
Background:
- Refractive laser surgery aims to correct vision but can be associated with posterior segment complications.
- Understanding the incidence and outcomes of retinal lesions is crucial for patient safety.
Purpose of the Study:
- To determine the incidence, management, and outcomes of retinal lesions before and after refractive laser surgery.
- To assess the safety and efficacy of refractive procedures in patients with or without pre-existing retinal pathology.
Main Methods:
- Retrospective review of 4800 patients undergoing refractive laser surgery over a 3-year period.
- Analysis of the incidence, type, management, and visual outcomes of posterior segment abnormalities.
- Comparison of preoperative and postoperative findings.
Main Results:
- 1.1% (52/4800) of patients had posterior segment pathology requiring intervention.
- Most lesions (0.86%) were detected preoperatively, primarily in myopic patients (-4.5 D).
- No retinal detachments occurred post-surgery, and all patients maintained best-corrected visual acuity.
Conclusions:
- Dilated fundus examination is essential for optimal care in refractive surgery patients.
- Preoperative assessment by a retinal specialist is recommended for patients with predisposing retinal conditions.
- Refractive laser surgery appears safe regarding retinal complications in this cohort.
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