title: The incidence of central serous chorioretinopathy after photorefractive keratectomy and laser in situ keratomileusis.
abstract: Purpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year study period, 1 of 4,876 eyes which had LASIK or PRK at the Moran Eye Center was diagnosed with CSCR. One other patient was referred from an outside center, developed CSCR symptoms one month after PRK. Both patients were managed conservatively with a final visual acuity of 20/20 or better. All other patients presented 4 or more years after refractive surgery. Conclusions. We report the first 2 CSCR cases developing within one month after PRK. The low incidence argues against a causal association. Topical corticosteroids or anxiety may elevate cortisol levels presenting therapeutic challenges for the management of CSCR after PRK or LASIK.
authors.affiliation: John A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USA.
authors.forename: Majid
authors.initials: M
authors.lastname: Moshirfar
authors.forename: Maylon
authors.initials: M
authors.lastname: Hsu
authors.forename: Julia
authors.initials: J
authors.lastname: Schulman
authors.forename: Joseph
authors.initials: J
authors.lastname: Armenia
authors.forename: Shameema
authors.initials: S
authors.lastname: Sikder
authors.forename: M Elizabeth
authors.initials: ME
authors.lastname: Hartnett