1. Tamara Samardžic, Serbia
PURPOSE The aim of this prospective study is to establish the risk and incidence of occurrence of retinal complications in the myopic eye after LASIK. MATERIALS AND METHODS The study was carried out at the Special Hospital”Professional-Dr Suvajac ”from June 2010. to September 2011. 165 patients underwent LASIK intervention to correct myopia .Mean spherical equivalent was - 4.75D (SD 2.25) preoperatively . A detailed review of fundus was done preoperatively with slit lamp biomicroscopy combined with Goldman three mirror and panfundoskopic contact lens , and repeated 1, 3, and 6 th month after LASIK intervention. LFC prophylactic treatment is done on one eye.Characteristics and distribution of peripheral retinal degenerative changes were observed and analyzed. RESULTS Localization of most lesions were in the upper temporal quadrant. In 95.5% of cases the changes were bilateral, unilateral in 4.5%. Preoperatively, 262 eyes had normal periphery findings of the retina. 54 eyes had peripheral degenerative changes as follows:lattice degeneration 19 (35.2%), pigment alterations, 12 (22.2%), pavingston degeneration 10 (18.5%), snail track degeneration 7 (12.9%), cystic degeneration, 4 (7.4%), atrophic holes 2 (3.7 %), posterior vitreous detachment 9 (3.4%). After LASIK intervention there was no alteration of existing peripheral retinal changes, or retinal detachment. CONCLUSION Although there are described pathological coditions in peripheral retina of myopic patients ,as a complication after LASIK interventions, our data do not find a cause - effect relationship between LASIK and retinal complications. A long-term follow-up of these patients is important to confirm our findings. The fact that the incidence of retinal pathological conditions are more common in myopic eyes, suggesting that it is necessary to strictly filtriate candidates for refractive surgery, along with a careful and detailed examination of the retinal periphery.
Ključne reči :
Tematska oblast:
retraktivna hirurgija
Uvodni rad:
Da
Datum:
31.03.2012.
Br. otvaranja:
794
