Laser in situ keratomileusis-induced optic neuropathy

被引:74
作者
Cameron, BD
Saffra, NA
Strominger, MB
机构
[1] Maimonides Med Ctr, Div Ophthalmol, Brooklyn, NY 11219 USA
[2] NYU, Med Ctr, Dept Ophthalmol, New York, NY 10016 USA
[3] SUNY Hlth Sci Ctr, Dept Ophthalmol, Brooklyn, NY 11203 USA
关键词
D O I
10.1016/S0161-6420(00)00577-7
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Objective: To report a case of bilateral optic neuropathy after bilateral laser-assisted in situ keratomileusis (LASIK) surgery. Design: Observational case report. Methods: Complete eye examination with detailed evaluation of the optic nerve, detailed medical history, stereo disc photographs, GDx Nerve Fiber Analyzer testing, Humphrey 24-2 SITA visual field testing, diurnal intraocular pressure measurement, serologic evaluation, and magnetic resonance imaging of the brain and orbits. Main Outcome Measures: Optic nerve status, visual field status, and visual acuity. Results: A subject with previously healthy optic nerves had bilateral optic neuropathy develop after LASIK surgery. This neuropathy manifested with a subjective decrease in visual field, normal visual acuity, normal color vision, relative afferent pupillary defect, increased cupping of the optic nerve with focal neuroretinal rim defects, decreased nerve fiber layer thickness, and nerve fiber bundle-type visual field defects. The subject had no other risk factors for optic neuropathy. No other cause of neuropathy was identified. Conclusions: Optic neuropathy is a potential vision-threatening complication of LASIK surgery. This complication may be due to barotrauma or ischemia related to extreme elevation of intraocular pressure by the suction ring. Careful examination of the optic nerve before and after LASIK surgery is warranted. (C) 2001 by the American Academy of Ophthalmology.
引用
收藏
页码:660 / 665
页数:6
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