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Rhegmatogenous Retinal Detachment After Laser-assisted In Situ Keratomileusis (LASIK) In Myopic Eyes |
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| Rhegmatogenous Retinal Detachment After Laser-assisted In Situ Keratomileusis (LASIK) In Myopic Eyes |
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作者：Qin Bo ,… 文章来源：Shenzhen Ophthalmic Center, Medical College of Jinan University, Shenzhen Eye Hospital, Shenzhen 518001, Guangdong Province, People’s Republic of China 点击数：1218 更新时间：2006/5/27 7:36:38 
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| Abstract
Purose To investigate and analyze the incidence, characteristics and surgical management of rhegmatogenous retinal detachment (RRD) after laser-asisted in situ keratomileusis (LASIK) surgery in myopic eyes.
Methods We retrospectively reviewed the retinal detachments observed in 18,342 consecutive eyes (9,598 patients) that underwent LASIK for correction of myopia. All patients had no history of corneal diseases and preoperative examinations included a thorough fundus examination were performed. Patients were followed for a mean of 20 months (range, 4-27 months) and the clinical features of the eyes which developed RRD after LASIK were investigated.
Results Six patients including 2 males and 4 females developed RRD. The incidence of a RRD after LASIK in this study was 0.033%. Mean pre-LASIK myopia in these eyes was –9.33D (range, –6.25 - –14.00 D). None of the 6 eyes had prophylactic treatment history of any retinal lesions. Mean time interval between LASIK and development of RRD was 9.25 months (range, 2-18 months). All RRDs happened spontaneously and were managed with vitrectomy, scleral buckling and other techniques. Retinal reattachment was achieved at the first retinal detachment surgery in all 6 eyes (100%) at mean follow-up of 9.3 months (range, 3-18 months).
Conclusions Rhegmatogenous RD after LASIK for the correction of myopia is uncommon. This study suggested no cause-effect relationship could be proved between RRD and LASIK procedure in myopic eyes. Clinicians should still be aware of retinal pathology in patients undergoing LASIK.
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