Macular hemorrhage after laser in situ keratomileusis for high myopia.
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.
Ellies
P
P
Department of Ophthalmology, Hôtel-Dieu de Paris Hospital, France.
Pietrini
D
D
Lumbroso
L
L
Lebuisson
D A
DA
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