Optic neuropathy and retinal complications after refractive surgery

Alice Yang Zhang, Reinaldo A. Garcia, Fernando A. Arevalo, J Fernando Arevalo

Research output: Chapter in Book/Report/Conference proceedingChapter


It is important to adopt preventive measures for optic neuropathy after LASIK. Vitreoretinal stress is induced at the posterior vitreous base during a posterior vitreous detachment after LASIK. Macular diseases may be a relative contraindication to LASIK in: Patients with high myopia and lacquer cracks. Patients with angioid streaks and traumatic choroidal ruptures. Macular hole may develop in myopic eyes after LASIK or photorefractive keratectomy. LASIK may be associated with uveitis. LASIK may be a safe and efficient option for treating refractive errors in eyes with previous retinal detachment surgery. Cryopexy, laser retinopexy, pneumatic retinopexy or vitrectomy without a scleral band tend not to change the shape or length of the globe and should be preferred to repair RRD. Prophylactic treatment of vitreoretinal pathology before LASIK does not guarantee the prevention of post-LASIK vitreoretinal complications. It is very important to inform patients that LASIK only corrects the refractive aspect of myopia and that vitreoretinal complications after LASIK although infrequent may occur. Reasons for poor VA after surgery for RRD after LASIK include delayed referral to a vitreoretinal specialist.

Original languageEnglish (US)
Title of host publicationManagement of Complications in Refractive Surgery
Subtitle of host publicationSecond Edition
PublisherSpringer International Publishing
Number of pages15
ISBN (Electronic)9783319605616
ISBN (Print)9783319605609
StatePublished - Jan 2 2018

ASJC Scopus subject areas

  • General Engineering
  • General Computer Science
  • General Mathematics


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