J Korean Ophthalmol Soc.  2003 Dec;44(12):2769-2774.

Clinical Analysis of Rhegmatougenous Retinal Detachment after Laser Refractive Surgery

• Lee SG
• Hwang BN
• Her J
• Yun IH

Abstract

PURPOSE
To evaluate the clinical presentation, surgical outcome of rhegmatogenous retinal detachment(RRD) after laser refractive surgery and the relationship between RRD and laser refractive surgery. METHODS: We examined age distribution, refractive error, time interval of RRD onset after refractive surgery, shape and location of retinal break, extent of RD, refractive change and postoperative complications in fifteen patients who experienced RRD after LASIK(9 eyes), or PRK(6 eyes) from March 1993 to August 2001. RESULTS: 66% of patents were in twenties, 47% of patients developed RD within 1 year after refractive surgery, 80% of patients had horse shoe type retinal tear and refractive changes after RD surgery were within 2 diopters. Patients who had undergone LASIK had shorter time interval in developing RRD, more refractive change, and more complications than those with PRK. CONCLUSIONS: These results suggest that laser refractive surgery can be one of the cause of RD. LASIK had more association with RD than PRK. Thorough retinal exam will be needed in patients undergoing LASIK.

Keyword

LASIK; PRK; Rhegmatogenous retinal detachment

MeSH Terms

Age Distribution
Horses
Humans
Keratomileusis, Laser In Situ
Postoperative Complications
Refractive Errors
Refractive Surgical Procedures*
Retinal Detachment*
Retinal Perforations
Retinaldehyde*
Shoes
Retinaldehyde