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Rhegmatogenous retinal detachment after LASIK for myopia of up to -10 diopters: 10 years of follow-up.
Graefes Arch Clin Exp Ophthalmol. 2012 Jul; 250(7):963-70.GA

Abstract

BACKGROUND

The aim of this work was to characterize rhegmatogenous retinal detachment (RRD) in over 22,000 eyes after laser-assisted in situ keratomileusis (LASIK) for the correction of myopia ≤ -10.00 diopters (D), its characteristics, and its frequency at 10 years of follow-up.

METHODS

This is a retrospective single-center interventional non-comparative case series. A total of 22,296 myopic eyes that underwent surgical correction of myopia ≤ -10.00 D were included. LASIK for the correction of myopia was performed in all eyes. Patients were followed for 10 years after LASIK. The clinical charts of patients that developed rhegmatogenous retinal detachment (RRD) after LASIK were reviewed.

RESULTS

A total of 11,594 (52%) eyes came back for follow-up after LASIK at 10 years. Twenty-two eyes (19 patients) developed a RRD after LASIK at 10 years. Rhegmatogenous retinal detachments occurred between 1 month and 10 years (mean: 31.6 ± 39.3 months) after LASIK. Eyes that developed a RRD had from -1.50 to -9.75 D of myopia (mean: -4.81 ± 2.2 D) before LASIK. The frequency of RRD after LASIK determined in our study was 0.05% (11/22,296) at 1 year, 0.15% (18/11,371) at 5 years, and 0.19% (22/11,594) at 10 years.

CONCLUSIONS

Rhegmatogenous retinal detachment after LASIK for the correction of myopia ≤ -10.00 D is infrequent. The risk of RRD after LASIK is very low if you screen patients, and do prophylactic treatment as performed in this study. RRD, if managed promptly, will result in good vision. We recommend that patients scheduled for refractive surgery undergo a very thorough dilated indirect funduscopy with scleral depression and treatment of any retinal lesion predisposing to the development of a RRD before LASIK surgery should be performed.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Arevalo JF
Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA. arevalojf@jhmi.edu
Lasave AF
No affiliation info available
Torres F
No affiliation info available
Suarez E
No affiliation info available

MeSH

AdultAgedCryosurgeryFemaleFollow-Up StudiesHumansKeratomileusis, Laser In SituLasers, ExcimerMaleMiddle AgedMyopiaPostoperative ComplicationsRetinal DetachmentRetrospective StudiesRisk FactorsScleral BucklingVitrectomyYoung Adult

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22218710

Citation

Arevalo, J Fernando, et al. "Rhegmatogenous Retinal Detachment After LASIK for Myopia of Up to -10 Diopters: 10 Years of Follow-up." Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, vol. 250, no. 7, 2012, pp. 963-70.
Arevalo JF, Lasave AF, Torres F, et al. Rhegmatogenous retinal detachment after LASIK for myopia of up to -10 diopters: 10 years of follow-up. Graefes Arch Clin Exp Ophthalmol. 2012;250(7):963-70.
Arevalo, J. F., Lasave, A. F., Torres, F., & Suarez, E. (2012). Rhegmatogenous retinal detachment after LASIK for myopia of up to -10 diopters: 10 years of follow-up. Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, 250(7), 963-70. https://doi.org/10.1007/s00417-011-1907-2
Arevalo JF, et al. Rhegmatogenous Retinal Detachment After LASIK for Myopia of Up to -10 Diopters: 10 Years of Follow-up. Graefes Arch Clin Exp Ophthalmol. 2012;250(7):963-70. PubMed PMID: 22218710.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rhegmatogenous retinal detachment after LASIK for myopia of up to -10 diopters: 10 years of follow-up. AU - Arevalo,J Fernando, AU - Lasave,Andres F, AU - Torres,Francia, AU - Suarez,Enrique, Y1 - 2012/01/05/ PY - 2011/08/30/received PY - 2011/12/13/accepted PY - 2011/11/23/revised PY - 2012/1/6/entrez PY - 2012/1/6/pubmed PY - 2012/9/8/medline SP - 963 EP - 70 JF - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JO - Graefes Arch Clin Exp Ophthalmol VL - 250 IS - 7 N2 - BACKGROUND: The aim of this work was to characterize rhegmatogenous retinal detachment (RRD) in over 22,000 eyes after laser-assisted in situ keratomileusis (LASIK) for the correction of myopia ≤ -10.00 diopters (D), its characteristics, and its frequency at 10 years of follow-up. METHODS: This is a retrospective single-center interventional non-comparative case series. A total of 22,296 myopic eyes that underwent surgical correction of myopia ≤ -10.00 D were included. LASIK for the correction of myopia was performed in all eyes. Patients were followed for 10 years after LASIK. The clinical charts of patients that developed rhegmatogenous retinal detachment (RRD) after LASIK were reviewed. RESULTS: A total of 11,594 (52%) eyes came back for follow-up after LASIK at 10 years. Twenty-two eyes (19 patients) developed a RRD after LASIK at 10 years. Rhegmatogenous retinal detachments occurred between 1 month and 10 years (mean: 31.6 ± 39.3 months) after LASIK. Eyes that developed a RRD had from -1.50 to -9.75 D of myopia (mean: -4.81 ± 2.2 D) before LASIK. The frequency of RRD after LASIK determined in our study was 0.05% (11/22,296) at 1 year, 0.15% (18/11,371) at 5 years, and 0.19% (22/11,594) at 10 years. CONCLUSIONS: Rhegmatogenous retinal detachment after LASIK for the correction of myopia ≤ -10.00 D is infrequent. The risk of RRD after LASIK is very low if you screen patients, and do prophylactic treatment as performed in this study. RRD, if managed promptly, will result in good vision. We recommend that patients scheduled for refractive surgery undergo a very thorough dilated indirect funduscopy with scleral depression and treatment of any retinal lesion predisposing to the development of a RRD before LASIK surgery should be performed. SN - 1435-702X UR - https://www.unboundmedicine.com/medline/citation/22218710/full_citation/ebm/journal/Graefes_Arch_Clin_Exp_Ophthalmol L2 - https://dx.doi.org/10.1007/s00417-011-1907-2 DB - PRIME DP - Unbound Medicine ER -