Macular hole in a myopic eye after laser in situ keratomileusis.
OBJECTIVE
To analyze the characteristics of a macular hole in a myopic patient after laser in situ keratomileusis (LASIK).


METHODS
A macular hole with sharp margins and small yellow deposits on the surface of the retinal pigment epithelium appeared in the left eye of a female patient, 53 years old, 12 months after LASIK for the correction of -6.75 D of myopia (follow-up after LASIK, 22 months). Best spectacle-corrected visual acuity (BSCVA) before LASIK was 20/25. BSCVA after LASIK was 20/20 (spherical equivalent refraction -1.00 D). After the macular hole appearance, BSCVA was 20/100. The macular hole was treated by vitrectomy with internal-limiting membrane peeling. Final BSCVA was 20/50.


CONCLUSIONS
The role of LASIK in the pathogenesis of macular hole remains unclear.
Ruiz-Moreno
José Ma
JM
Department of Ophthalmology, Miguel Hernández University School of Medicine, Alicante, Spain. jm.ruiz@umh.es
Artola
Alberto
A
Pérez-Santonja
Juan J
JJ
Alió
Jorge L
JL
D005139:Eyeglasses; D005260:Female; D005654:Fundus Oculi; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D014463:Ultrasonography; D014792:Visual Acuity