Al-Rashaed Saba, Abboud Emad, Al-Dhibi Hassan
Vitreoretinal Division, King Khaled Eye Specialist Hospital, Al-Arouba, Riyadh, Saudi Arabia.
Ophthalmic Surg Lasers Imaging. 2009 Mar-Apr;40(2):180-4. doi: 10.3928/15428877-20090301-02.
A 37-year-old man developed retinal detachment after laser in situ keratomileusis (LASIK) in both eyes. Causes for the retinal breaks were a horseshoe tear and a giant tear. Both eyes were treated by vitrectomy and scleral buckle. Four months later, the patient developed a recurrent detachment in the right eye with cataract that was managed surgically. Both retinas were flat after a 20-month follow-up period. Bilateral rhegmatogenous retinal detachment after LASIK for correction of myopia can be a serious complication. Patients should be informed about the possibility of this complication. Previous reports of retinal detachments after LASIK and possible related mechanisms were also reviewed.
一名37岁男性在双眼进行准分子原位角膜磨镶术（LASIK）后发生视网膜脱离。视网膜裂孔的原因是马蹄形裂孔和巨大裂孔。双眼均接受了玻璃体切除术和巩膜扣带术治疗。四个月后，患者右眼出现复发性脱离并伴有白内障，接受了手术治疗。经过20个月的随访期，双眼视网膜均变平。LASIK矫正近视后发生双侧孔源性视网膜脱离可能是一种严重的并发症。应告知患者这种并发症的可能性。还回顾了先前关于LASIK术后视网膜脱离及其可能相关机制的报道。
