PMID- 17889770
OWN - NLM
STAT- MEDLINE
DCOM- 20071213
LR  - 20070924
IS  - 0886-3350 (Print)
IS  - 0886-3350 (Linking)
VI  - 33
IP  - 10
DP  - 2007 Oct
TI  - Excimer laser refractive correction of myopia after episcleral buckling for 
      rhegmatogenous retinal detachment.
PG  - 1744-9
AB  - PURPOSE: To evaluate the long-term effects of excimer laser treatment for 
      ametropia after surgical treatment of rhegmatogenous retinal detachment (RRD) 
      with scleral buckles. SETTING: Helsinki University Eye Hospital, Helsinki, 
      Finland. METHODS: Ten patients (10 eyes) who had 1 or more surgeries for RRD 
      followed by refractive surgery for myopia were retrospectively enrolled in this 
      study and were examined after excimer laser refractive surgery. Photorefractive 
      keratectomy (PRK) or laser in situ keratomileusis (LASIK) was performed using a 
      Star S2 excimer laser system (Visx). The best spectacle-corrected visual acuity 
      (BSCVA), refraction, degree of anisometropia, and topographical changes were 
      evaluated before and after the surgeries. RESULTS: All patients were free of 
      asthenopic symptoms after refractive surgery. At the end of the follow-up, a mean 
      of 67 months +/- 14 (SD) after refractive surgery, 6 patients were within +/-1.0 
      diopter of the intended correction. Compared with previously reported cohorts of 
      myopic patients, the achieved refraction in patients who previously had a scleral 
      buckling procedure was worse. The postoperative refraction was stable, and 
      corneal topography did not show induced scar formation, keratectasia, or 
      irregular astigmatism. After refractive surgery, the BSCVA improved 1 Snellen 
      line in 3 patients and 2 lines in 1 patient. One patient lost 1 Snellen line and 
      another patient lost 2 lines. Four patients showed no changes. New retinal 
      complications were not observed. CONCLUSIONS: In the long-term, PRK and LASIK 
      were safe methods for the treatment of myopia in RRD patients after scleral 
      buckling. The predictability of myopic LASIK/PRK may be worse than generally 
      reported in myopic cohorts.
FAU - Holopainen, Juha M
AU  - Holopainen JM
AD  - Department of Ophthalmology, University of Helsinki, Helsinki, Finland. 
      juha.holopainen@hus.fi
FAU - Vuori, Elisa
AU  - Vuori E
FAU - Moilanen, Jukka A O
AU  - Moilanen JA
FAU - Zalentein, Waldir Neira
AU  - Zalentein WN
FAU - Tervo, Timo M T
AU  - Tervo TM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Cataract Refract Surg
JT  - Journal of cataract and refractive surgery
JID - 8604171
SB  - IM
MH  - Adult
MH  - Corneal Topography
MH  - Female
MH  - Humans
MH  - Keratomileusis, Laser In Situ/*methods
MH  - *Lasers, Excimer
MH  - Male
MH  - Middle Aged
MH  - Myopia/etiology/*surgery
MH  - Photorefractive Keratectomy/*methods
MH  - Refraction, Ocular/physiology
MH  - Retinal Detachment/*surgery
MH  - Retrospective Studies
MH  - Scleral Buckling/*adverse effects
MH  - Visual Acuity/physiology
EDAT- 2007/09/25 09:00
MHDA- 2007/12/14 09:00
CRDT- 2007/09/25 09:00
PHST- 2007/02/05 00:00 [received]
PHST- 2007/06/08 00:00 [accepted]
PHST- 2007/09/25 09:00 [pubmed]
PHST- 2007/12/14 09:00 [medline]
PHST- 2007/09/25 09:00 [entrez]
AID - S0886-3350(07)01164-9 [pii]
AID - 10.1016/j.jcrs.2007.06.023 [doi]
PST - ppublish
SO  - J Cataract Refract Surg. 2007 Oct;33(10):1744-9. doi: 10.1016/j.jcrs.2007.06.023.