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M.C. Wu, M.E. Cappiello, D.M. Berinstein, R.S. Rubinfeld; LASIK Following Scleral Buckle Surgery . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2656.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate visual outcome and retinal complications following LASIK in eyes having previous scleral buckle surgery for the treatment of retinal detachment. Methods: Retrospective chart review and analysis. Results: Eight eyes of 8 patients with prior history of retinal detachment repair underwent LASIK by one surgeon (RSR) for correction of secondary myopia related to the scleral buckle. The average time period for LASIK was 10.8 years following scleral buckle surgery. In 7 cases, the fellow eye also had LASIK correction, and in one case a previous LASIK procedure had been performed prior to onset of retinal detachment. The average pre-operative spherical equivalent refractive error was -6.38 in eyes with the scleral buckle and -5.20 in the fellow eyes, with a difference in refractive error of -1.20. Overall, all 8 patients underwent uncomplicated refractive surgery, with 5 of 8 eyes requiring an enhancement procedure at an average of 6 months. The average final vision was 20/38 in the scleral buckle eye with follow-up ranging from 1 month to 1 year. No retinal complications were encountered during the operative and post-operative time period. Conclusions: LASIK is a safe and effective procedure for the treatment of secondary myopia following scleral buckle surgery. No LASIK or retinal complications were encountered and final visions achieved were dependent on the severity of the retinal detachment.
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