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. 1997 Sep;81(9):759–761. doi: 10.1136/bjo.81.9.759

Retinal detachment following excimer laser

D Charteris 1, R Cooling 1, M Lavin 1, D McLeod 1
PMCID: PMC1722314  PMID: 9422928

Abstract

AIMS—To report the clinical presentation, surgical management, and outcome of retinal detachment following excimer laser.
METHODS—Retrospective analysis of retinal detachments observed in 11 eyes of 10 myopic patients who had previously undergone photorefractive keratectomy (PRK) or phototherapeutic keratectomy (PTK) by excimer laser.
RESULTS—Symptoms of visual loss in two eyes were initially attributed to corneal haze. In 10 of 11 eyes visualisation of the retinal detachment and causative break was possible despite mild corneal haze and optical aberrations caused by the refractive laser procedure. Retinal reattachment was achieved in all 11 eyes though one eye required four surgical interventions.
CONCLUSION—This is the first published report to describe an association between retinal detachment and previous excimer laser treatment. The association would appear to reflect the predisposition of myopes to retinal detachment. Clinicians should be aware of potential retinal pathology in patients undergoing PRK.



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Selected References

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  1. Byer N. E. Long-term natural history of lattice degeneration of the retina. Ophthalmology. 1989 Sep;96(9):1396–1402. doi: 10.1016/s0161-6420(89)32713-8. [DOI] [PubMed] [Google Scholar]
  2. Condon P. I., Mulhern M., Fulcher T., Foley-Nolan A., O'Keefe M. Laser intrastromal keratomileusis for high myopia and myopic astigmatism. Br J Ophthalmol. 1997 Mar;81(3):199–206. doi: 10.1136/bjo.81.3.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gartry D. S., Kerr Muir M. G., Marshall J. Excimer laser photorefractive keratectomy. 18-month follow-up. Ophthalmology. 1992 Aug;99(8):1209–1219. doi: 10.1016/s0161-6420(92)31821-4. [DOI] [PubMed] [Google Scholar]
  4. Gris O., Güell J. L., Muller A. Keratomileusis update. J Cataract Refract Surg. 1996 Jun;22(5):620–623. doi: 10.1016/s0886-3350(96)80021-6. [DOI] [PubMed] [Google Scholar]
  5. Heitzmann J., Binder P. S., Kassar B. S., Nordan L. T. The correction of high myopia using the excimer laser. Arch Ophthalmol. 1993 Dec;111(12):1627–1634. doi: 10.1001/archopht.1993.01090120049021. [DOI] [PubMed] [Google Scholar]
  6. Hyams S. W., Neumann E. Peripheral retina in myopia. With particular reference to retinal breaks. Br J Ophthalmol. 1969 May;53(5):300–306. doi: 10.1136/bjo.53.5.300. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Perkins E. S. Morbidity from myopia. Sight Sav Rev. 1979 Spring;49(1):11–19. [PubMed] [Google Scholar]
  8. Rodriguez A., Camacho H. Retinal detachment after refractive surgery for myopia. Retina. 1992;12(3 Suppl):S46–S50. doi: 10.1097/00006982-199212031-00010. [DOI] [PubMed] [Google Scholar]
  9. Salz J. J., Maguen E., Nesburn A. B., Warren C., Macy J. I., Hofbauer J. D., Papaioannou T., Berlin M. A two-year experience with excimer laser photorefractive keratectomy for myopia. Ophthalmology. 1993 Jun;100(6):873–882. doi: 10.1016/s0161-6420(93)31560-5. [DOI] [PubMed] [Google Scholar]
  10. Schepens C. L., Marden D. Data on the natural history of retinal detachment. Further characterization of certain unilateral nontraumatic cases. Am J Ophthalmol. 1966 Feb;61(2):213–226. doi: 10.1016/0002-9394(66)90274-1. [DOI] [PubMed] [Google Scholar]
  11. Seiler T., McDonnell P. J. Excimer laser photorefractive keratectomy. Surv Ophthalmol. 1995 Sep-Oct;40(2):89–118. doi: 10.1016/s0039-6257(95)80001-8. [DOI] [PubMed] [Google Scholar]

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