title: Macular hemorrhage after laser in situ keratomileusis for high myopia.
abstract: We describe 2 women with high myopia of -12.0 and -18.0 diopters who presented with myopic macular hemorrhages 1 and 4 days, respectively, after being treated by laser in situ keratomileusis (LASIK). One hemorrhage was related to a pre-existing choroidal neovascularization and the other to the presence of lacquer cracks. The hemorrhages resolved but resulted in a permanent decrease in vision. A careful fundus examination should be conducted before performing LASIK in highly myopic patients. In cases of similar macular pathology, fluorescein angiography should be done before LASIK.
authors.affiliation: Department of Ophthalmology, Hôtel-Dieu de Paris Hospital, France.
authors.forename: P
authors.initials: P
authors.lastname: Ellies
authors.forename: D
authors.initials: D
authors.lastname: Pietrini
authors.forename: L
authors.initials: L
authors.lastname: Lumbroso
authors.forename: D A
authors.initials: DA
authors.lastname: Lebuisson
mesh_terms: D000328:Adult; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008266:Macula Lutea / Q000473:pathology; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D019106:Postoperative Hemorrhage; D012075:Remission, Spontaneous; D012166:Retinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D014792:Visual Acuity