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Published on: July 6, 2015
Bilateral retinal detachment after laser in situ keratomileusis
Saba Al-Rashaed1, Emad Abboud, Hassan Al-Dhibi
1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Al-Arouba, Riyadh, Saudi Arabia.
Summary
Laser eye surgery (LASIK) can lead to serious retinal detachment in both eyes, requiring surgical intervention. Patients undergoing LASIK for myopia correction should be aware of this potential risk.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery for myopia.
- Retinal detachment is a serious ocular condition that can lead to vision loss.
Observation:
- A 37-year-old male patient experienced bilateral retinal detachment following LASIK surgery.
- The retinal breaks were characterized as a horseshoe tear and a giant tear.
- The patient underwent vitrectomy and scleral buckle for both eyes.
Findings:
- A recurrent detachment with cataract occurred in the right eye four months post-surgery, necessitating further surgical management.
- Both retinas remained stable and flat at the 20-month follow-up.
- This case highlights bilateral rhegmatogenous retinal detachment as a potential serious complication of LASIK.
Implications:
- Patients undergoing LASIK for myopia correction must be thoroughly informed about the risk of retinal detachment.
- Ophthalmologists should consider LASIK as a potential contributing factor in cases of retinal detachment.
- Further research into the mechanisms linking LASIK and retinal detachment is warranted.
