[Two cases of retinal detachment following laser in Situ keratomileusis repaired by scleral buckling surgery].

Abstract

BACKGROUND:

As laser in situ keratomileusis (LASIK) becomes the treatment of choice in the field of refractive surgery, postoperative rhegmatogenous retinal detachment has also begun to occur. However, since it has not been reported yet here in Japan, we report two cases of retinal detachment following LASIK with suggestions based on our experience.

CASES:

A 34-year-old male(Case 1) and a 26-year-old male(Case 2) suffered from retinal detachment one month and eight months after LASIK, respectively. Contributing retinal breaks were a horseshoe tear in Case 1 and atrophic holes in the lattice degeneration in Case 2. Each patient underwent partial scleral buckling with no intraoperative complication, resulting in successful retinal reattachment. Postoperatively, myopic changes developed and persisted one month in Case 1 and several months in Case 2.

CONCLUSIONS:

Great attention should be paid to the possibility of postoperative myopia after a repair of retinal detachment following LASIK. Thus, we stress the necessity of close cooperation between LASIK surgeons and vitreoretinal surgeons to settle the matter.

• Authors: Tatsuya Onguchi, Tadahiko Eshita, Shinji Mita, Susumu Ishida, Kei Shinoda, Shizuaki Kitamura, Shinichi Kawashima, Makoto Inoue, Yoshihisa Oguchi, Ikuko Toda, Naoko Kato
• Journal: Nippon Ganka Gakkai zasshi (Nippon Ganka Gakkai Zasshi) Vol. 106 Issue 2 Pg. 103-8 (Feb 2002) ISSN: 0029-0203 [Print] Japan
• PMID: 11915370 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Humans
• Keratomileusis, Laser In Situ (adverse effects)
• Male
• Myopia
• Postoperative Complications
• Retinal Detachment (etiology, surgery)
• Scleral Buckling