Macular Hemorrhage after Laser in Situ Keratomileusis.

Han, Heon Seung; Shin, Hyun Young; Kim, Hyo Myung

Original Article

Journal of the Korean Ophthalmological Society 2000;41(1):264-267.
Published online January 1, 2000.

Macular Hemorrhage after Laser in Situ Keratomileusis.

Heon Seung Han, Hyun Young Shin, Hyo Myung Kim

Department of Opthalmology, College of Medicine, Korea University.

LASIK후 발생한 황반출혈 1 예

한헌승(Heon Seung Han),신현영(Hyun Young Shin),김효명(Hyo Myung Kim)

Abstract

Macular hemorrhage which result from breaks of Bruch's membrane or from choroidal neovascularization can develop in high degenerative myopia, but its occurrence after photorefractive surgery has rarely been reported. We experienced a case of macular hemorrhage after laser in situ keratomileusis[LASIK]:A 28-year-old female patient with high myopia of -16.5 diopters, who had received successful LASIK operation on her left eye.complained of a sudden drop in vision 20 days postoperatively.On fundus examination, macular hemorrhages were detected on her left eye.Eventually the hemorrhages resolved, but more than 2 lines of her best corrected visual acuity were lost.During follow-up, a new hemorrhagic lesion was incidently found on the other eye. This case demonstrates that macular hemorrhages may develop after LASIK in eyes with high degenerative myopia, and lead to a permanent reduction in visual acuity.We should be alert to any potential retinal pathology in patients having refractive surgery.

Key Words: High myopia;LASIK;Macular hemorrhage