Incidence of retinal disease following refractive surgery in 9,239 eyes.

IF 3 3区医学 Q1 OPHTHALMOLOGY

Journal of refractive surgery Pub Date : 2003-09-01 DOI:10.3928/1081-597X-20030901-08

José Ma Ruiz-Moreno, Jorge L Alió

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引用次数: 88

Abstract

Purpose: To analyze the appearance, incidence, and characteristics of retinal diseases in myopic patients after refractive surgery.

Methods: We studied retinal disease observed in 9,239 consecutive eyes (5,099 patients) after refractive surgery. Photorefractive keratectomy (PRK) was used to correct myopia in 5,936 eyes (3,184 patients, mean age 30.5 +/- 8.9 years); mean spherical equivalent refraction was -4.71 +/- 2.80 D. Laser in situ keratomileusis (LASIK) was used to correct myopia in 3,009 eyes (1,734 patients, mean age 32.0 +/- 7.8 years); mean spherical equivalent refraction was -13.5 +/- 3.30 D. An anterior chamber phakic intraocular lens (PIOL) was implanted to correct myopia in 294 eyes (181 patients, mean age 32.6 +/- 7.3 yr) with a mean spherical equivalent refraction of -18.5 +/- 5.00 D.

Results: Retinal detachment occurred at a mean 53.6 +/- 41.4 months after PRK in 9 eyes (0.15%), 24.6 +/- 20.4 months after LASIK in 11 eyes (0.36%), and 20.5 +/- 17.4 months after anterior chamber PIOL implantation in 12 eyes (4.08%). Choroidal neovascularization occurred a mean 26 months after PRK in 1 eye (0.01%), mean 30.2 +/- 19.3 months after LASIK in 10 eyes (0.33%), and mean 49.0 +/- 33.5 months after PACL implantation in 7 eyes (2.38%). One patient developed a macular hole 12 months after LASIK and another patient developed a macular hemorrhage immediately after LASIK. Epiretinal membrane appeared in one patient 19 months after anterior chamber PIOL implantation.

Conclusion: There was no relationship between PRK for myopia and retinal disease. LASIK for correction of myopia was followed by a low incidence of retinal disease; additional study is necessary to assess the true impact of the suction ring in the myopic eye. Implantation of an anterior chamber PIOL to correct high myopia was followed by a low incidence of choroidal neovascularization, a high incidence of retinal detachment, similar to other intraocular interventions in highly myopic patients.

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9,239只眼屈光手术后视网膜疾病的发生率

目的:分析屈光手术后近视患者视网膜病变的表现、发病率及特点。方法:对屈光手术后连续9239只眼(5099例)观察到的视网膜病变进行研究。采用光屈光性角膜切除术(PRK)矫正近视5936只眼(3184例，平均年龄30.5±8.9岁);平均球等效屈光度为-4.71 +/- 2.80 d，采用激光原位角膜磨镶术(LASIK)矫正近视3,009眼(1,734例，平均年龄32.0 +/- 7.8岁);意味着球形等效折射率为-13.5 + / - 3.30 d前房phakic植入人工晶状体(PIOL)纠正近视在294眼(181例,平均年龄32.6 + / - 7.3年)平均球形等效折射率为-18.5 + / - 5.00 D.Results:视网膜脱离发生在PRK后平均53.6 + / - 41.4个月9眼(0.15%),24.6 + / - 20.4个月后LASIK在11眼(0.36%),和20.5 + / - 17.4个月后前房PIOL植入12眼(4.08%)。PRK术后平均26个月1眼(0.01%)，LASIK术后平均30.2 +/- 19.3个月10眼(0.33%)，PACL术后平均49.0 +/- 33.5个月7眼(2.38%)。一名患者在LASIK术后12个月出现黄斑孔，另一名患者在LASIK术后立即出现黄斑出血。1例患者在前房PIOL植入术19个月后出现视网膜外膜。结论:近视PRK与视网膜病变无相关性。LASIK矫正近视后视网膜疾病发生率较低;需要进一步的研究来评估吸环对近视眼的真正影响。前房PIOL植入术矫正高度近视后，脉络膜新生血管发生率低，视网膜脱离发生率高，与高度近视患者的其他眼内干预相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

$Journal of refractive surgery$

Journal of refractive surgery 医学-外科

CiteScore

5.10

自引率

12.50%

发文量

160

审稿时长

4-8 weeks

期刊介绍： The Journal of Refractive Surgery, the official journal of the International Society of Refractive Surgery, a partner of the American Academy of Ophthalmology, has been a monthly peer-reviewed forum for original research, review, and evaluation of refractive and lens-based surgical procedures for more than 30 years. Practical, clinically valuable articles provide readers with the most up-to-date information regarding advances in the field of refractive surgery. Begin to explore the Journal and all of its great benefits such as: • Columns including “Translational Science,” “Surgical Techniques,” and “Biomechanics” • Supplemental videos and materials available for many articles • Access to current articles, as well as several years of archived content • Articles posted online just 2 months after acceptance.