Scholarlink

Purpose <p>To report a case of rapid progression of myopic macular retinoschisis (MRS) following femtosecond laser-assisted in situ keratomileusis (LASIK) and its anatomical outcome after pars plana vitrectomy (PPV).</p> Case description <p>A 36-year-old woman with high myopia (right eye: 6/15, -14.75D; left eye: 6/12, -13.5D spherical equivalent) underwent a routine refractive surgery evaluation. Fundus examination revealed pathological myopia with posterior staphyloma and peripapillary atrophy in both eyes, while optical coherence tomography (OCT) demonstrated inner and outer MRS with focal vitreomacular traction in the right eye. Following an uneventful bilateral femtosecond LASIK procedure, the patient presented with visual blurring in the right eye at the two-month follow-up. OCT imaging showed significant progression of MRS with increased vitreomacular traction and central retinal thickness, leading to a decline in visual acuity to 6/24. Given the progressive nature of the pathology, PPV was performed. At 6-week and 4-month follow-ups, OCT demonstrated resolution of MRS with restoration of a normal foveal contour and thickness, and final visual acuity improved to 6/12.</p> Conclusion <p>Femtosecond LASIK in highly myopic eyes with pre-existing tractional macular abnormalities may exacerbate MRS progression. Alternative refractive procedures should be considered in such cases. Early vitrectomy intervention may be beneficial for progressive MRS to achieve anatomical and functional improvement.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Progressive post-LASIK myopic retinoschisis: a rare complication and its management

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月27日

查看全文
  • Karishma Tendulkar,
  • Rupal Kathare,
  • Vishma Prabhu,
  • Prathiba Hande,
  • Ramesh Venkatesh

摘要

Purpose

To report a case of rapid progression of myopic macular retinoschisis (MRS) following femtosecond laser-assisted in situ keratomileusis (LASIK) and its anatomical outcome after pars plana vitrectomy (PPV).

Case description

A 36-year-old woman with high myopia (right eye: 6/15, -14.75D; left eye: 6/12, -13.5D spherical equivalent) underwent a routine refractive surgery evaluation. Fundus examination revealed pathological myopia with posterior staphyloma and peripapillary atrophy in both eyes, while optical coherence tomography (OCT) demonstrated inner and outer MRS with focal vitreomacular traction in the right eye. Following an uneventful bilateral femtosecond LASIK procedure, the patient presented with visual blurring in the right eye at the two-month follow-up. OCT imaging showed significant progression of MRS with increased vitreomacular traction and central retinal thickness, leading to a decline in visual acuity to 6/24. Given the progressive nature of the pathology, PPV was performed. At 6-week and 4-month follow-ups, OCT demonstrated resolution of MRS with restoration of a normal foveal contour and thickness, and final visual acuity improved to 6/12.

Conclusion

Femtosecond LASIK in highly myopic eyes with pre-existing tractional macular abnormalities may exacerbate MRS progression. Alternative refractive procedures should be considered in such cases. Early vitrectomy intervention may be beneficial for progressive MRS to achieve anatomical and functional improvement.