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Abstract #15676 Published in IGR 2-3
Optic neuropathy associated with laser in situ keratomileusis(1)
Lee AG; Kohnen T; Ebner R; Bennett JL; Miller NR; Carlow TJ; Koch DDJournal of Cataract and Refractive Surgery 2000; 26: 1581-1584
To report four cases of optic neuropathy following laser in situ keratomileusis (LASIK). Tertiary care ophthalmic practices.In this retrospective observational case series, four patients who developed acute visual loss following LASIK are reported. All had clinical evidence of optic neuropathy. Two had optic disc edema and two had normal appearing optic discs initially. None of the patients experienced significant visual recovery, and all developed optic atrophy in the affected eye.All patients had evaluations for alternative etiologies of their optic neuropathy, with negative results. All patients were therefore presumed to have experienced an ischemic optic neuropathy following LASIK. Patients who have LASIK may experience an acute anterior or retrobulbar optic neuropathy. The etiology is unknown but may be related to the marked increase in intraocular pressure that occurs during a portion of the procedure.
Dr. A.G. Lee, Department of Ophthalmology, The University of Iowa Hospitals and Clinics, (Lee), Iowa City, Iowa, USA
Classification:
8.4 Refractive surgical procedures (Part of: 8 Refractive errors in relation to glaucoma)
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy