Relationships between vitreoretinal and refractive surgery.
OBJECTIVE
To describe retinal complications after posterior chamber phakic intraocular lens (PCPIOL) implantation and refractive surgery complications after scleral buckling surgery.


METHODS
Retrospective, noncomparative, small case series.


METHODS
Four patients in whom retinal detachment developed after PCPIOL implantation and two patients with previously placed encircling scleral buckles in whom corneal steepening developed after laser in situ keratomileusis (LASIK).


METHODS
The four patients with retinal detachment after PCPIOL implantation underwent vitreoretinal surgery. One of the two patients in whom corneal steepening developed after LASIK underwent buckle removal.


METHODS
The main parameters evaluated were vitreoretinal findings, corneal topography, and pachymetry.


RESULTS
Retinal attachment was achieved for all patients. Mean postoperative best-corrected visual acuity (BCVA) was 20/30. One patient lost one line of BCVA. One patient with corneal steepening achieved partial corneal flattening after buckle removal.


CONCLUSIONS
Vitreous base stimulation related to PCPIOL implantation and manipulation during LASIK may trigger retinal complications. Laser in situ keratomileusis in patients with previously placed scleral buckles may result in unexpected corneal steepening.
Panozzo
G
G
Vitreoretinal Service, Casa di Cura S. Anna, Brescia, Italy.
Parolini
B
B
D000328:Adult; D001251:Astigmatism / Q000209:etiology; D019781:Corneal Topography; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007908:Lens, Crystalline; D008297:Male; D009216:Myopia / Q000150:complications* / Q000601:surgery; D012163:Retinal Detachment / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D012591:Scleral Buckling; D014792:Visual Acuity