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

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

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Authors and Affiliations

  1. Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    J. Fernando Arevalo

  2. The Vitreoretinal Division, King Khaled Eye Specialist Hospital, Al-Oruba Street, PO Box 7191, Riyadh, 11462, Kingdom of Saudi Arabia

    J. Fernando Arevalo

  3. The Retina and Vitreous Service, Clinica Oftalmologica Centro Caracas, Caracas, Venezuela

    Andres F. Lasave

  4. The Centro Medico Docente La Trinidad, Caracas, Venezuela

    Francia Torres & Enrique Suarez

Authors
  1. J. Fernando Arevalo
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  2. Andres F. Lasave
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  3. Francia Torres
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  4. Enrique Suarez
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Corresponding author

Correspondence to J. Fernando Arevalo.

Additional information

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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  • DOI: https://doi.org/10.1007/s00417-011-1907-2

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