Vitreoretinal surgery for bilateral macular holes after laser-assisted in situ keratomileusis for the correction of myopia: a case report

Journal of Medical Case Reports

Antonio Bajo-Fuente²  Joaquín Castro-Navarro²  Miriam García-Fernández¹ 

[1] Department of Opthalmology, Central University Hospital of Asturias, C/Dionisio Ridruejo, nº5, 11ºD, CP: 33007, Oviedo, Spain;Ophthalmologic Clinic Bajo (Vitreoretinal Surgery Department), Oviedo, Spain

关键词: Vitrectomy;    Macular hole;    Laser-assisted in situ keratomileusis;   

Others  :  1195262
DOI  :  10.1186/1752-1947-6-381

 received in 2012-04-22, accepted in 2012-10-16,  发布年份 2012

【 摘 要 】

Introduction

Laser-assisted in situ keratomileusis surgery may induce postoperative changes in the vitreomacular interface due to the mechanical stretch of the vitreous produced by the suction ring and the shock waves generated by the excimer laser and, subsequently, may provoke macular hole formation.

Case presentation

A 53-year-old Spanish woman who had undergone a laser-assisted in situ keratomileusis for the correction of myopia in her right and left eye (10 years ago) was referred to our department with a complaint of decreased visual acuity in both eyes. A fundoscopy and optical coherence tomography examination revealed a bilateral full-thickness macular hole. A 23-gauge sutureless pars plana vitrectomy was performed in both eyes, and 1 month after surgery her visual acuity improved and the hole closed.

Conclusion

The development of a bilateral full-thickness macular hole after laser-assisted in situ keratomileusis has been reported once. This case study enhances our understanding of the vitreoretinal pathology induced by laser-assisted in situ keratomileusis, showing the importance of a rigorous follow-up, because complications may occur even a decade later. In this case study we must also consider the contribution of the underlying myopia to the development of the bilateral macular holes.

【 授权许可】

   
2012 Garcia-Fernandez et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Mulhern MG, Condon PI, O'Keefe M: Endophthalmitis after astigmatic myopic laser in situ keratomileusis. J Cataract Refract Surg 1997, 23:948-950.
• [2]Arevalo JF, Rodriguez FJ, Rosales-Meneses JL, Dessouki A, Chan CK, Mittra RA, Ruiz-Moreno JM: Vitreoretinal surgery for macular hole after laser assisted in situ keratomileusis for the correction of myopia. Br J Ophthalmol 2005, 89:1423-1426.
• [3]Arevalo JF, Mendoza AJ, Velez-Vazquez W, Rodriguez FJ, Rodriguez A, Rosales-Meneses JL, et al.: Full-thickness macular hole after LASIK for the correction of myopia. Ophthalmology 2005, 112:1207-1212.
• [4]Ruiz-Moreno JM, Artola A, Pérez-Santonja JJ, Alió JL: Macular hole in a myopic eye after laser in situ keratomileusis. J Refract Surg 2002, 18:746-749.
• [5]Chan CK, Lawrence FC: Macular hole after laser in situ keratomileusis and photorefractive keratectomy. Am J Ophthalmol 2001, 131:666-667.
• [6]Al-Rashaed S, Al-Halafi AM: Retinal detachment after laser in situ keratomileusis. Middle East Afr J Ophthalmol 2011, 18:224-227.
• [7]Principe AH, Lin DY, Small KW, Aldave AJ: Macular hemorrhage after laser in situ keratomileusis (LASIK) with femtosecond laser flap creation. Am J Ophthalmol 2004, 138:657-659.
• [8]Ruiz-Moreno JM, Pérez-Santonja JJ, Alió JL: Choroidal neovascularization in myopic eyes after laser-assisted in situ keratomileusis. Retina 2001, 21:115-120.
• [9]Arevalo JF, Ramirez E, Suarez E, Morales-Stopello J, Cortez R, Ramirez G, et al.: Incidence of vitreoretinal pathologic conditions within 24 months after laser in situ keratomileusis. Ophthalmology 2000, 107:258-262.