PMID- 14518742
OWN - NLM
STAT- MEDLINE
DCOM- 20040106
LR  - 20220210
IS  - 1081-597X (Print)
IS  - 1081-597X (Linking)
VI  - 19
IP  - 5
DP  - 2003 Sep-Oct
TI  - Incidence of retinal disease following refractive surgery in 9,239 eyes.
PG  - 534-47
AB  - PURPOSE: To analyze the appearance, incidence, and characteristics of retinal 
      diseases in myopic patients after refractive surgery. METHODS: We studied retinal 
      disease observed in 9,239 consecutive eyes (5,099 patients) after refractive 
      surgery. Photorefractive keratectomy (PRK) was used to correct myopia in 5,936 
      eyes (3,184 patients, mean age 30.5 +/- 8.9 years); mean spherical equivalent 
      refraction was -4.71 +/- 2.80 D. Laser in situ keratomileusis (LASIK) was used to 
      correct myopia in 3,009 eyes (1,734 patients, mean age 32.0 +/- 7.8 years); mean 
      spherical equivalent refraction was -13.5 +/- 3.30 D. An anterior chamber phakic 
      intraocular lens (PIOL) was implanted to correct myopia in 294 eyes (181 
      patients, mean age 32.6 +/- 7.3 yr) with a mean spherical equivalent refraction 
      of -18.5 +/- 5.00 D. RESULTS: Retinal detachment occurred at a mean 53.6 +/- 41.4 
      months after PRK in 9 eyes (0.15%), 24.6 +/- 20.4 months after LASIK in 11 eyes 
      (0.36%), and 20.5 +/- 17.4 months after anterior chamber PIOL implantation in 12 
      eyes (4.08%). Choroidal neovascularization occurred a mean 26 months after PRK in 
      1 eye (0.01%), mean 30.2 +/- 19.3 months after LASIK in 10 eyes (0.33%), and mean 
      49.0 +/- 33.5 months after PACL implantation in 7 eyes (2.38%). One patient 
      developed a macular hole 12 months after LASIK and another patient developed a 
      macular hemorrhage immediately after LASIK. Epiretinal membrane appeared in one 
      patient 19 months after anterior chamber PIOL implantation. CONCLUSION: There was 
      no relationship between PRK for myopia and retinal disease. LASIK for correction 
      of myopia was followed by a low incidence of retinal disease; additional study is 
      necessary to assess the true impact of the suction ring in the myopic eye. 
      Implantation of an anterior chamber PIOL to correct high myopia was followed by a 
      low incidence of choroidal neovascularization, a high incidence of retinal 
      detachment, similar to other intraocular interventions in highly myopic patients.
FAU - Ruiz-Moreno, Jose Ma
AU  - Ruiz-Moreno JM
AD  - Department of Ophthalmology, Miguel Hernandez University School of Medicine, 
      Instituto Oftalmologico de Alicante, Alicante, Spain. jm.ruiz@umh.es
FAU - Alio, Jorge L
AU  - Alio JL
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Refract Surg
JT  - Journal of refractive surgery (Thorofare, N.J. : 1995)
JID - 9505927
SB  - IM
MH  - Adult
MH  - Cornea/*surgery
MH  - Female
MH  - Humans
MH  - Incidence
MH  - Keratomileusis, Laser In Situ/*methods
MH  - Lasers, Excimer
MH  - Lens Implantation, Intraocular/methods
MH  - Lenses, Intraocular
MH  - Male
MH  - Middle Aged
MH  - Myopia/*surgery
MH  - Photorefractive Keratectomy/*methods
MH  - Postoperative Complications/*epidemiology
MH  - Refraction, Ocular
MH  - Retinal Diseases/*epidemiology/etiology/therapy
MH  - Treatment Outcome
MH  - Visual Acuity
EDAT- 2003/10/02 05:00
MHDA- 2004/01/07 05:00
CRDT- 2003/10/02 05:00
PHST- 2003/10/02 05:00 [pubmed]
PHST- 2004/01/07 05:00 [medline]
PHST- 2003/10/02 05:00 [entrez]
AID - 10.3928/1081-597X-20030901-08 [doi]
PST - ppublish
SO  - J Refract Surg. 2003 Sep-Oct;19(5):534-47. doi: 10.3928/1081-597X-20030901-08.