Deyar Ibrahim
Tishreen University Medical School, Syria
Title: Retinal detachment after myopic Lasik surgery- case report
Biography
Biography: Deyar Ibrahim
Abstract
Purpose: To report two cases of unilateral retinal detachment (RD) after myopic LASIK.
Case presentation:
First case: A 17 year old male with Axial Length (AL) 27 mm in right eye (OD) and 27.62 mm in left eye (OS) underwent Lasik. 43 days later he complained of sudden loss of vision in his left eye secondary to macula off RRD with superior temporal large horseshoe and inferior holes
Second case: A 27 year old female with Axial Length (AL) 25.50 mm in (OD) and 25.06 mm in (OS) complained after 8 months of LASIK surgery from sudden loss of vision in her right eye secondary to superotemponasally RD with macula off due to giant tears and many circular micro holes superiorly.
Both patients were managed by pars plana vitrectomy (PPV) with silicon oil tamponade which extracted after 3 months in both patients. The retina was attached post operatively and the BCVA was recovered to the same BCVA after Lasik surgery.
The other eye of both patients was treated with Argon laser photocoagulation around lesions were detected with fundoscopy, and remain stable anatomically and functionally
Conclusion: RD after myopic Lasik can be a serious complication; patients should be informed about possibility of this complication. Each patient should undergo a very thorough dilated fundoscopy and treatment of any retinal lesion predisposing for the development of RD before LASIK surgery is performed.
Keywords: Lasik , myopia, retinal detachment, PPV.