Immediate retinal detachment after laser in situ keratomileusis.
OBJECTIVE
We report a case of rhegmatogenous retinal detachment immediately (first postoperative day) after the refractive surgery of laser in situ keratomileusis (LASIK).


METHODS
A 50-year-old man underwent bilateral LASIK; on the first postoperative day, he presented with decreased visual acuity due to retinal detachment with vitreous hemorrhage in the left eye. There were two horseshoe tears posterior to the equator and one peripheral operculated hole, all temporally located. Four months later, he presented with vitreous hemorrhage and a horseshoe tear temporal posterior to the equator in the right eye.


RESULTS
Surgical treatment was done, and the retina reattached immediately after surgery and remained stable thereafter in both eyes. Six months after surgery, visual acuity was 20/30 in the left eye and 20/40 in the right eye.


CONCLUSIONS
Although the cause/effect relationship between LASIK and retinal detachment has not yet been established, occurrence of immediate postoperative retinal detachment may represent a strong temporal suggestion of its association.
From *Londrina Eye Hospital, Londrina, Brazil; †State University of Londrina, Londrina, Brazil; and ‡Federal University of São Paulo, São Paulo, Brazil.
Antonio M B
AM
Casella
Ana P M T
AP
Oguido
Leonardo T
LT
Aquino
Michel E
ME
Farah