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The incidence of central serous chorioretinopathy after photorefractive keratectomy and laser in situ keratomileusis.

Moshirfar M, Hsu M, Schulman J, Armenia J, Sikder S, Hartnett ME - J Ophthalmol (2012)

Bottom Line: Both patients were managed conservatively with a final visual acuity of 20/20 or better.Conclusions.The low incidence argues against a causal association.

View Article: PubMed Central - PubMed

Affiliation: John A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USA.

ABSTRACT
Purpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year study period, 1 of 4,876 eyes which had LASIK or PRK at the Moran Eye Center was diagnosed with CSCR. One other patient was referred from an outside center, developed CSCR symptoms one month after PRK. Both patients were managed conservatively with a final visual acuity of 20/20 or better. All other patients presented 4 or more years after refractive surgery. Conclusions. We report the first 2 CSCR cases developing within one month after PRK. The low incidence argues against a causal association. Topical corticosteroids or anxiety may elevate cortisol levels presenting therapeutic challenges for the management of CSCR after PRK or LASIK.

No MeSH data available.


Related in: MedlinePlus

Fundus photograph and optical coherence tomography of the left eye of Patient 1, 19 days after PRK, showing serous retinal detachment consistent with CSCR.
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Related In: Results  -  Collection


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fig1: Fundus photograph and optical coherence tomography of the left eye of Patient 1, 19 days after PRK, showing serous retinal detachment consistent with CSCR.

Mentions: Spectral domain optical coherence tomography (sd-OCT, Heidelberg Engineering, Heidelberg, Germany) demonstrated subretinal fluid accumulation consistent with CSCR (Figure 1) in the affected eye. No abnormalities were seen in the right eye. Consultation with a retina specialist led to the decision to keep the patient on standard corticosteroids drops with close observation. After one month, the patient was switched to fluorometholone 0.1% (Allergan Inc.) 4 times daily which was tapered over the next 6 weeks. His total postoperative corticosteroid exposure was 12 weeks.


The incidence of central serous chorioretinopathy after photorefractive keratectomy and laser in situ keratomileusis.

Moshirfar M, Hsu M, Schulman J, Armenia J, Sikder S, Hartnett ME - J Ophthalmol (2012)

Fundus photograph and optical coherence tomography of the left eye of Patient 1, 19 days after PRK, showing serous retinal detachment consistent with CSCR.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3306965&req=5

fig1: Fundus photograph and optical coherence tomography of the left eye of Patient 1, 19 days after PRK, showing serous retinal detachment consistent with CSCR.
Mentions: Spectral domain optical coherence tomography (sd-OCT, Heidelberg Engineering, Heidelberg, Germany) demonstrated subretinal fluid accumulation consistent with CSCR (Figure 1) in the affected eye. No abnormalities were seen in the right eye. Consultation with a retina specialist led to the decision to keep the patient on standard corticosteroids drops with close observation. After one month, the patient was switched to fluorometholone 0.1% (Allergan Inc.) 4 times daily which was tapered over the next 6 weeks. His total postoperative corticosteroid exposure was 12 weeks.

Bottom Line: Both patients were managed conservatively with a final visual acuity of 20/20 or better.Conclusions.The low incidence argues against a causal association.

View Article: PubMed Central - PubMed

Affiliation: John A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USA.

ABSTRACT
Purpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year study period, 1 of 4,876 eyes which had LASIK or PRK at the Moran Eye Center was diagnosed with CSCR. One other patient was referred from an outside center, developed CSCR symptoms one month after PRK. Both patients were managed conservatively with a final visual acuity of 20/20 or better. All other patients presented 4 or more years after refractive surgery. Conclusions. We report the first 2 CSCR cases developing within one month after PRK. The low incidence argues against a causal association. Topical corticosteroids or anxiety may elevate cortisol levels presenting therapeutic challenges for the management of CSCR after PRK or LASIK.

No MeSH data available.


Related in: MedlinePlus