Rhegmatogenous retinal detachment after laser-assisted in situ keratomileusis (LASIK) for the correction of myopia

Retina. 2000;20(4):338-41. doi: 10.1097/00006982-200007000-00003.


Purpose: To report a case series of rhegmatogenous retinal detachment (RRD) after laser-assisted in situ keratomileusis (LASIK) and its incidence at a mean of 24 months.

Methods: The clinical charts of patients who experienced RRD after LASIK were reviewed. Five refractive surgeons and 24,890 myopic eyes that underwent surgical correction of myopia ranging from -0.75 to -29.00 diopters (D) (mean, -6.19 D) participated in this study.

Results: Thirteen eyes from 12 patients developed RRD after LASIK. Rhegmatogenous RD occurred between 1 and 36 months (mean, 12.6 months) after LASIK. Eyes that developed RRD had from -1.50 to -16.00 D of myopia (mean, -6.96 D) before LASIK. Rhegmatogenous RD were managed with vitrectomy, cryoretinopexy, scleral buckling, argon laser retinopexy, or pneumatic retinopexy techniques. The incidence of RRD at a mean of 24 months after LASIK in this study was 0.05%.

Conclusions: Rhegmatogenous RD after LASIK is infrequent. If managed promptly, good vision can result. No cause-effect relationship between LASIK and RD can be proved from this study, but the authors recommend that patients scheduled for refractive surgery undergo a thorough dilated indirect fundus examination with scleral depression and treatment of any retinal lesions predisposing them to the development of RRD before LASIK surgery is performed.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Cornea / surgery*
  • Cryosurgery
  • Female
  • Humans
  • Incidence
  • Keratomileusis, Laser In Situ / adverse effects*
  • Laser Coagulation
  • Male
  • Middle Aged
  • Myopia / surgery*
  • Reoperation
  • Retinal Detachment / epidemiology
  • Retinal Detachment / etiology*
  • Retinal Detachment / surgery
  • Retrospective Studies
  • Scleral Buckling
  • Visual Acuity
  • Vitrectomy