Acute rhegmatogenous retinal detachment immediately following laser in situ keratomileusis.
We report a case of acute rhegmatogenous retinal detachment (RRD) after laser in situ keratomileusis (LASIK) surgery in a highly myopic patient. Fourteen hours postoperatively, the uncorrected visual acuity was counting fingers in the left eye. Slitlamp examination revealed significant anterior chamber reaction with fibrin-like material. Fundus examination revealed 2 inferior retinal horseshoe tears associated with an RD. Preoperative fundus examination with scleral depression may detect predisposing retinal lesions in highly myopic patients. Further study is required to evaluate the relationship between LASIK, acute postoperative RRD, and predisposing factors.
Reviglio
Victor E
VE
Cornea and Anterior Segment Research, Pathology Department, School of Medicine, Catholic University of Córdoba, Molino de Torres 5301 L32 M17, El Bosque, Villa Warcalde (5000), Córdoba, Argentina. victorwilmer@aol.com
Kuo
Irene C
IC
Gramajo
Laura
L
Olmedo
María A
MA
Falco
Micaela
M
Juarez
Claudio P
CP
D000208:Acute Disease; D003315:Cornea / Q000000981:diagnostic imaging / Q000601:surgery; D017679:Cryotherapy; D005451:Fluorescein Angiography; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012167:Retinal Perforations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012591:Scleral Buckling; D014463:Ultrasonography; D014792:Visual Acuity