Clinical Analysis of Rhegmatougenous Retinal Detachment after Laser Refractive Surgery.

Lee, Sul Gee; Hwang, Bum Noon; Her, Jun; Yun, Il Han

Original Article

Journal of the Korean Ophthalmological Society 2003;44(12):2769-2774.
Published online December 1, 2003.

Clinical Analysis of Rhegmatougenous Retinal Detachment after Laser Refractive Surgery.

Sul Gee Lee, Bum Noon Hwang, Jun Her, Il Han Yun

Department of Ophthalmology, Pusan Paik Hospital, InJe University, Colleage of Medicine, Korea. ihyun@ijnc.inje.ac.kr

레이저근시교정술 후 발생한 열공망막박리의 임상분석

이슬기 ( Lee Seul Gi ) , 황범눈 ( Hwang Beom Nun ) , 허준 ( Heo Jun ) , 윤일한 ( Yun Il Han )

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.

Key Words: LASIK;PRK;Rhegmatogenous retinal detachment