J Korean Ophthalmol Soc.  2000 Jan;41(1):264-267.

Macular Hemorrhage after Laser in Situ Keratomileusis

• Han HS
• Shin HY
• Kim HM

Abstract

Macular hemorrhage which result from breaks of Bruch's membrane or from choroidal neovascularization can develop in high degenerative myopia, but its occurrence after photorefractive surgery has rarely been reported. We experienced a case of macular hemorrhage after laser in situ keratomileusis[LASIK]:A 28-year-old female patient with high myopia of -16.5 diopters, who had received successful LASIK operation on her left eye.complained of a sudden drop in vision 20 days postoperatively.On fundus examination, macular hemorrhages were detected on her left eye.Eventually the hemorrhages resolved, but more than 2 lines of her best corrected visual acuity were lost.During follow-up, a new hemorrhagic lesion was incidently found on the other eye. This case demonstrates that macular hemorrhages may develop after LASIK in eyes with high degenerative myopia, and lead to a permanent reduction in visual acuity.We should be alert to any potential retinal pathology in patients having refractive surgery.

Keyword

High myopia; LASIK; Macular hemorrhage

MeSH Terms

Adult
Bruch Membrane
Choroidal Neovascularization
Female
Follow-Up Studies
Hemorrhage*
Humans
Keratomileusis, Laser In Situ*
Myopia
Myopia, Degenerative
Pathology
Refractive Surgical Procedures
Retinaldehyde
Visual Acuity
Retinaldehyde