Nippon Ganka Gakkai Zasshi. 2004 Sep;108(9):566-71.
Bilateral retinal detachment after laser in situ keratomileusis
Kohzaki K, Sano Y, Toda K, Mitooka K, Nakamura Y, Kitahara K. Department of Ophthalmology, Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105 8461, Japan.
BACKGROUND: We report a case of bilateral retinal detachment after laser in situ keratomileusis(LASIK).
CASE: A 49-year-old man received multiple laser photocoagulation for retinal lattice degeneration in both eyes and retinal tears in the left eye. He underwent bilateral LASIK in another country about 6 months after the laser photocoagulation. After the LASIK his eyes showed bilateral retinal detachment, 2 weeks later in the right eye and 5 months later in the left eye. We had to perform retinal detachment surgery four times, scleral buckling, vitrectomy, silicone oil tamponade, and removal of the silicone oil for the right eye, and one scleral buckling procedure for the left eye to achieve retinal attachment. Soon after each retinal surgery, we recognized diffuse flap edema and interface haze, three times in the right cornea and one time in the left, although this corneal flap edema subsided without any sequel.
CONCLUSION: In this case, laser photocoagulation had been done several times to prevent retinal detachment in both eyes. However, retinal detachment occurred 2 weeks after LASIK in the right eye, and therefore, the LASIK procedure was considered to be the main factor influencing the development of the retinal detachment. The left eye showed retinal detachment 5 months after LASIK and we thought it possible that this retinal detachment occurred as a natural consequence of myopia. We believe it is important to hava a thorough funduscopic examination done before LASIK and it is necessary to pay attention to corneal edema and interface haze after retinal detachment surgery for post-LASIK patients.