Macular hole in a myopic eye after laser in situ keratomileusis

J Refract Surg. 2002 Nov-Dec;18(6):746-9. doi: 10.3928/1081-597X-20021101-15.


Purpose: To analyze the characteristics of a macular hole in a myopic patient after laser in situ keratomileusis (LASIK).

Methods: A macular hole with sharp margins and small yellow deposits on the surface of the retinal pigment epithelium appeared in the left eye of a female patient, 53 years old, 12 months after LASIK for the correction of -6.75 D of myopia (follow-up after LASIK, 22 months). Best spectacle-corrected visual acuity (BSCVA) before LASIK was 20/25. BSCVA after LASIK was 20/20 (spherical equivalent refraction -1.00 D). After the macular hole appearance, BSCVA was 20/100. The macular hole was treated by vitrectomy with internal-limiting membrane peeling. Final BSCVA was 20/50.

Conclusion: The role of LASIK in the pathogenesis of macular hole remains unclear.

Publication types

  • Case Reports

MeSH terms

  • Eyeglasses
  • Female
  • Fundus Oculi
  • Humans
  • Keratomileusis, Laser In Situ / adverse effects*
  • Middle Aged
  • Myopia / physiopathology
  • Myopia / surgery*
  • Reoperation
  • Retinal Perforations / diagnosis
  • Retinal Perforations / etiology*
  • Retinal Perforations / physiopathology
  • Retinal Perforations / surgery
  • Time Factors
  • Ultrasonography
  • Visual Acuity