Myopes should be tested for asymptomatic retinal detachments before surgery
While asymptomatic retinal detachment is rare in myopic patients, refractive surgeons should perform careful fundus examinations to diagnose and treat the condition before performing refractive laser surgery, a study suggests.
To identify the prevalence of asymptomatic retinal detachment, Faik Orucov, MD, and colleagues retrospectively reviewed the medical records of 12,815 myopic eyes of 6,547 patients who received ophthalmic examinations before undergoing excimer laser surgery between March 2002 and March 2006. The study results are published in the October issue of British Journal of Ophthalmology.
At baseline, spherical equivalent averaged 4.42 D and best corrected visual acuity averaged 20/20.
The investigators found that asymptomatic retinal detachment had been detected during routine preoperative examinations in five eyes (0.039%) of four patients.
Three of these eyes underwent successful scleral buckling; two patients were lost to follow-up.