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Rhegmatogenous retinal detachment after LASIK for myopia of up to –10 diopters: 10 years of follow-up

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.

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References

  1. 1.

    Sperduto RD, Seigel D, Roberts J, Rowland M (1983) Prevalence of myopia in the United States. Arch Ophthalmol 101:405–407

    PubMed  Article  CAS  Google Scholar 

  2. 2.

    McCarty CA, Livingston PM, Taylor HR (1997) Prevalence of myopia in adults: implications for refractive surgeons. J Refract Surg 13:229–234

    PubMed  CAS  Google Scholar 

  3. 3.

    Pallikaris IG, Papatzanaki ME, Siganos DS (1991) A corneal flap technique for laser in situ keratomileusis. Arch Ophthalmol 109:1699–1702

    PubMed  Article  CAS  Google Scholar 

  4. 4.

    Zaldivar R, Davidorf JM, Oscherow S (1998) Laser in situ keratomileusis for myopia from –5.50 to –11.50 diopters with astigmatism. J Refract Surg 14:19–25

    PubMed  CAS  Google Scholar 

  5. 5.

    Kim HM, Jung HR (1996) Laser assisted in situ keratomileusis for high myopia. Ophthalmic Surg Lasers 27:508–511

    Google Scholar 

  6. 6.

    Ozdamar A, Aras C, Sener B (1998) Bilateral retinal detachment associated with giant retinal tear after laser-assisted in situ keratomileusis. Retina 18:176–177

    PubMed  Article  CAS  Google Scholar 

  7. 7.

    Luna JD, Reviglio VE, Juarez CP (1999) Bilateral macular hemorrhage after laser in situ keratomileusis. Graefes Arch Clin Exp Ophthalmol 237:611–613

    PubMed  Article  CAS  Google Scholar 

  8. 8.

    Stulting RD, Carr JD, Thompson KP (1999) Complications of laser in situ keratomileusis for the correction of myopia. Ophthalmology 106:13–20

    PubMed  Article  CAS  Google Scholar 

  9. 9.

    Reviglio VE, Kuo IC, Gramajo L (2007) Acute rhegmatogenous retinal detachment immediately following laser in situ keratomileusis. J Cataract Refract Surg 33:536–539

    PubMed  Article  Google Scholar 

  10. 10.

    Ruiz-Moreno JM, Perez-Santoja JJ, Alio JL (1999) Retinal detachment in myopic eyes after laser in situ keratomileusis. Am J Ophthalmol 128:588–594

    PubMed  Article  CAS  Google Scholar 

  11. 11.

    Aras C, Ozdamar A, Karacorlu M (2000) Retinal detachment following laser in situ keratomileusis. Ophthalmic Surg Lasers 31:121–125

    PubMed  CAS  Google Scholar 

  12. 12.

    Arevalo JF, Ramirez E, Suarez E (2000) Incidence of vitreo-retinal pathologic conditions 24 months after laser-assisted in situ keratomileusis (LASIK). Ophthalmology 107:258–262

    PubMed  Article  CAS  Google Scholar 

  13. 13.

    Lee SY, Ong SG, Yeo KT, Wong DW, Ang CL (2006) Retinal detachment after laser refractive surgery at the Singapore National Eye Centre. J Cataract Refract Surg 32:536–538

    PubMed  Article  Google Scholar 

  14. 14.

    Hofman RF, Starling JC, Hovland KR (1985) Case report: retinal detachment after radial keratotomy surgery. J Refract Surg 1:226

    Google Scholar 

  15. 15.

    Sanders DR (1986) Refractive Corneal Surgery. In: Hofman RF, Salz JJ (eds) Thorofare. NJ, Slack Inc, p 388

    Google Scholar 

  16. 16.

    Feldman RM, Crapotta JA, Feldman ST, Goldbaum MH (1991) Retinal detachment following radial and astigmatic keratotomy. Refract Corneal Surg 7:252–253

    PubMed  CAS  Google Scholar 

  17. 17.

    Rodriguez A, Camacho H (1992) Retinal detachment after refractive surgery for myopia. Retina 12:S46–S50

    PubMed  Article  CAS  Google Scholar 

  18. 18.

    Rodriguez A, Gutierrez E, Alvira G (1987) Complications of clear lens extraction in axial myopia. Arch Ophthalmol 105:1522–1523

    PubMed  Article  CAS  Google Scholar 

  19. 19.

    Barraquer C, Cavelier C, Mejia LF (1994) Incidence of retinal detachment following clear-lens extraction in myopic patients: retrospective analysis. Arch Ophthalmol 112:336–339

    PubMed  Article  CAS  Google Scholar 

  20. 20.

    Ripandelli G, Billi B, Fedeli R, Stirpe M (1996) Retinal detachment after clear lens extraction in 41 eyes with high axial myopia. Retina 16:3–6

    PubMed  Article  CAS  Google Scholar 

  21. 21.

    Arevalo JF, Ramirez E, Suarez E (2001) Rhegmatogenous retinal detachment in myopic eyes after laser in situ keratomileusis; frequency, characteristics, and mechanism. J Cataract Refract Surg 27:674–680

    PubMed  Article  CAS  Google Scholar 

  22. 22.

    Arevalo JF, Ramirez E, Suarez E (2002) Retinal detachment in myopic eyes after laser in situ keratomileusis. J Refract Surg 18:708–714

    PubMed  Google Scholar 

  23. 23.

    Qin B, Huang L, Zeng J, Hu J (2007) Retinal detachment after laser in situ keratomileusis in myopic eyes. Am J Ophthalmol 144:921–923

    PubMed  Article  Google Scholar 

  24. 24.

    Bovey EH, Altamirano D (1994) Prospective study of 163 retinal detachments operated by episcleral technique. Klin Monatsbl Augenheilkd 204:302–305

    PubMed  Article  CAS  Google Scholar 

  25. 25.

    de German I, Ribon R, Arevalo JF (1994) Scleral buckling surgery for rhegmatogenous retinal detachment: complications. Arch Soc Am Oftalmol Optom 24:162–171

    Google Scholar 

  26. 26.

    Curtin BJ (1985) The Myopias; Basic Science and Clinical Management. Hagerstown, MD, Harper & Row pp 334

  27. 27.

    Wilkinson CP, Rice TA (1997) Michels Retinal Detachment. St. Louis. MO, CV Mosby, p 77

    Google Scholar 

  28. 28.

    Ogawa A, Tanaka M (1988) The relationship between refractive errors and retinal detachment-analysis of 1,116 retinal detachment cases. Jpn J Ophthalmol 32:310–315

    PubMed  CAS  Google Scholar 

  29. 29.

    Azar-Arevalo O, Arevalo JF (2001) Corneal topography changes after vitreo-retinal surgery. Ophthalmic Surg Lasers 32:168–172

    PubMed  CAS  Google Scholar 

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The authors have no financial or proprietary interests in any of the products or techniques mentioned in this article.

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Correspondence to J. Fernando Arevalo.

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Supported in part by the Arevalo-Coutinho Foundation for Research in Ophthalmology, Caracas, Venezuela.

The authors have full control of all primary data and agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review the data if requested.

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Arevalo, J.F., Lasave, A.F., 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 250, 963–970 (2012). https://doi.org/10.1007/s00417-011-1907-2

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Keywords

  • –10 Diopters
  • Laser-assisted in situ keratomileusis
  • LASIK
  • Myopia
  • Rhegmatogenous retinal detachment
  • Ten years of follow-up