Arevalo J F, Rodriguez F J, Rosales-Meneses J L, Dessouki A, Chan C K, Mittra R A, Ruiz-Moreno J M
Clinica Oftalmologica Centro Caracas, Centro Caracas PH-1, Av Panteon, San Bernardino, Caracas 1010, Venezuela.
Br J Ophthalmol. 2005 Nov;89(11):1423-6. doi: 10.1136/bjo.2005.074542.
AMS: To describe the characteristics and surgical outcomes of full thickness macular hole surgery after laser assisted in situ keratomileusis (LASIK) for the correction of myopia.
13 patients (14 eyes) who developed a macular hole after bilateral LASIK for the correction of myopia participated in the study.
Macular hole formed 1-83 months after LASIK (mean 13 months). 11 out of 13 (84.6%) patients were female. Mean age was 45.5 years old (25-65). All eyes were myopic (range -0.50 to -19.75 dioptres (D); mean -8.4 D). Posterior vitreous detachment (PVD) was not present before and was documented after LASIK on 42.8% of eyes. Most macular hole were unilateral, stage 4 macular hole, had no yellow deposits on the retinal pigment epithelium, had no associated epiretinal membrane, were centric, and had subretinal fluid. The mean diameter of the hole was 385.3 microm (range 200--750 microm). A vitrectomy closed the macular hole on all eyes with an improvement on final best corrected visual acuity (VA) on 13 out of 14 (92.8%) patients.
This study shows that vitreoretinal surgery can be successful in restoring vision for most myopic eyes with a macular hole after LASIK.
目的：描述准分子激光原位角膜磨镶术（LASIK）矫正近视后全层黄斑裂孔手术的特点及手术效果。
13例（14只眼）双眼行LASIK矫正近视后发生黄斑裂孔的患者参与了本研究。
黄斑裂孔在LASIK术后1至83个月形成（平均13个月）。13例患者中有11例（84.6%）为女性。平均年龄45.5岁（25至65岁）。所有患眼均为近视（范围-0.50至-19.75屈光度（D）；平均-8.4 D）。术前无玻璃体后脱离（PVD），LASIK术后42.8%的患眼记录到有PVD。大多数黄斑裂孔为单侧，4期黄斑裂孔，视网膜色素上皮无黄色沉积物，无相关视网膜前膜，为中心性，有视网膜下液。裂孔平均直径为385.3微米（范围200至750微米）。玻璃体切除术使所有患眼的黄斑裂孔闭合，14例患者中有13例（92.8%）最终最佳矫正视力（VA）得到改善。
本研究表明，玻璃体视网膜手术对于大多数LASIK术后发生黄斑裂孔的近视患眼恢复视力是成功的。
