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Characteristics of Rhegmatogenous Retinal Detachment After Refractive Surgery: Comparison With Myopic Eyes With Retinal Detachment

Authors
 Hae Min Kang  ;  Christopher Seungkyu Lee  ;  Hyun Joo Park  ;  Kyu Ho Lee  ;  Suk Ho Byeon  ;  Hyoung Jun Koh  ;  Sung Chul Lee 
Citation
 AMERICAN JOURNAL OF OPHTHALMOLOGY, Vol.157(3) : 666-672, 2014 
Journal Title
 AMERICAN JOURNAL OF OPHTHALMOLOGY 
ISSN
 0002-9394 
Issue Date
2014
MeSH
Adult ; Female ; Humans ; Keratectomy, Subepithelial, Laser-Assisted* ; Keratomileusis, Laser In Situ* ; Male ; Myopia/surgery* ; Odds Ratio ; Postoperative Complications* ; Retinal Detachment/diagnosis* ; Retinal Perforations/diagnosis ; Retrospective Studies ; Risk Factors ; Treatment Outcome ; Visual Acuity/physiology
Abstract
PURPOSE: To evaluate the characteristics of rhegmatogenous retinal detachment (RD) in patients with previous laser in situ keratomileusis (LASIK) and compare them to RD in patients with previous laser assisted subepithelial keratomileusis (LASEK) and myopic patients with no previous refractive surgery. DESIGN: Retrospective, comparative case series. METHODS: In 106 eyes of 106 patients with RD, patients with previous refractive surgery included 21 eyes after LASIK and 13 eyes after LASEK; 72 myopic patients with refractive errors of -3.0 diopters or less were grouped as the R (-) group. Characteristics of RD included distribution of RD and associated retinal breaks, location and number of retinal breaks, presence of lattice degeneration, and axial lengths. RESULTS: The mean interval between refractive surgery and the onset of rhegmatogenous RD was 63.7 ± 43.5 months, occurring across a broad spectrum of time intervals. There were no significant differences among the LASIK group, the LASEK group, and the R (-) group in axial length (26.8 mm vs 26.4 mm vs 26.9 mm, respectively); in mean number of retinal holes/tears, (2.1/1.5, 0.9/1.4, 1.5/1.6, respectively); or in the presence of lattice degeneration (52.4% vs 46.2% vs 43.1%, respectively). Distribution of RD and associated retinal breaks were also not significantly different; retinal holes and tears were more prevalent in the temporal quadrants, and inferotemporal quadrants were the most commonly detached areas in both the LASEK and LASIK groups and in the R (-) group. CONCLUSIONS: Myopia is a well-known risk factor for rhegmatogenous RD and may contribute more to the development of RD in myopic patients after refractive surgery, rather than refractive surgery itself.
Full Text
http://www.sciencedirect.com/science/article/pii/S0002939413007642
DOI
10.1016/j.ajo.2013.12.004
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Hyoung Jun(고형준) ORCID logo https://orcid.org/0000-0002-5932-8516
Byeon, Suk Ho(변석호) ORCID logo https://orcid.org/0000-0001-8101-0830
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
Lee, Christopher Seungkyu(이승규) ORCID logo https://orcid.org/0000-0001-5054-9470
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98819
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