Macular Complications After LASIK Surgery

Abstract

Abstract: : Purpose: Two patients who developed subretinal choroidal neovascular membranes (CNVM) after LASIK surgery are presented. Method: Two moderately myopic patients who underwent LASIK surgery complained of distorted vision three months after the procedure. One of them had a quiet presumed ocular histoplasmosis syndrome (POHS) lesion prior to refractive surgery. Fundus examination and fluorescein angiography revealed subfoveal CNVM in the patient with POHS and juxtafoveal CNVM in the other. The patient with subfoveal CNVM underwent 2 sessions of photodynamic therapy; the other chose no treatment. Results: Patient with subfoveal CNVM improved from 20/300 to 20/40 at 4 months follow-up. The patient with juxtafoveal CNVM remained at 20/25. Conclusion: Prognosis for improvement of CNVM after LASIK surgery may be more favorable than those developed spontaneously.

Keywords: 346 choroid: neovascularization • 318 anterior segment • 454 laser