RETINAL DETACHMENT AFTER REFRACTIVE EYE SURGERIES (CLINICAL CASE)

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This article reports a clinical case of unilateral rhegmatogenous retinal detachment (RRD) after three years of myopic laser in situ keratomileusis (LASIK). A 35-year-old female patient with LASIK K.H. in both eyes due to myopia (spherical equivalent −5.0 Diopters), diagnosed with left eye (LE) retinal detachment was referred to our clinic. A dilated fundus examination showed a LE macula-on supra-nasal RRD. The frst course of action was surgical treatment. Two-weeks postoperative follow up best corrected visual acuity (BCVA) of LE dropped from 1.00 to 0.6 in decimal, intraocular pressure (IOP) was 17 mmHg. Four-weeks postop follow up BCVA increased from 0.6 to 0.8, IOP was 19 mmHg. The patient gained BCVA 1.0 in LE at seven weeks, IOP was 21 mmHg.

It is important to frst inform about possibility of complications of surgery, especially of myopic LASIK, which can cause RRD. Each patient should undergo a very thorough dilated fundoscopy and treatment of any retinal lesion predisposing for the development of retinal detachment before surgery performed.