Bilateral macular hemorrhage after laser in situ keratomileusis.
BACKGROUND
This is the first report of a bilateral submacular hemorrhage after LASIK surgery in an extreme myo pic patient. A 31-year-old man underwent bilateral surgery for correction of -16.75+0.75x70 degrees and -16.50+0.50x55 degrees.


METHODS
Case report.


RESULTS
One day after surgery the patient's uncorrected visual acuity was in the 20/50 range OU and by 17 days after surgery his visual acuity had declined to 20/200 range. Fundus examination showed multifocal subretinal macular and posterior pole hemorrhages. Fluorescein angiography showed some macular lesions compatible with lacquer cracks.


CONCLUSIONS
Preoperative and postoperative fundus examination is important to detect this phenomenon. Patients should be informed of this rare complication.
Luna
J D
JD
Fundacion VER, Correo Central, Córdoba, Argentina. funver@powernet.com.ar
Reviglio
V E
VE
Juárez
C P
CP
D000328:Adult; D005451:Fluorescein Angiography; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D008266:Macula Lutea / Q000473:pathology*; D008297:Male; D009216:Myopia / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D012166:Retinal Hemorrhage / Q000473:pathology*; D014792:Visual Acuity