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Deze abstract is toegekend aan sessie BOG-SBO 3 Voorste oogsegment / Segment antérieur
TitelMyopia: more than a refractive error - LASIK and retinal dystrophies
Abstract Nr.A1066
DoelTo illustrate the need for in depth preoperative evaluation of myopic patients about to undergo Laser In Situ Keratomileusis (LASIK) when signs or symptoms suggesting problems of night blindness and/or photophobia are present.
MethodesThree patients who had undergone LASIK correction for myopia were examined. Because of suboptimal visual acuity (VA) and night blindness and/or photophobia, all 3 patients underwent a comprehensive ophthalmological, psychophysical & electrophysiological examination.
ResultatenPreoperative VA was said to have been 10/10 in BE of 1 of the 3 patients. VA was 7/10 to 8/10 in BE of the 2 other patients.
After one or several LASIK procedures on BE, all 3 patients showed suboptimal VA and complained about night blindness and/or photophobia. Preoperative SLE and IOP were said to be unremarkable for the 3 patients. In the first and third cases fundoscopy had revealed only myopic fundus changes. The second patient had pigment alterations in both maculae. Results of all tests showed that 2 of the 3 patients suffered from a progressive cone-rod dystrophy. The third patient has retinitis pigmentosa.
ConclusieIn the presence of either fundus abnormalities or specific complaints of night blindness and/or photophobia, a thorough examination should be performed prior to LASIK. Indeed, in such patients, the presence of a retinal dystrophy should always be suspected. Performing LASIK on such patients is acceptable, provided they are fully informed of the limitations of the potential results.
Auteur 1
NaamWALRAEDT
InitialenS
InstituutGhent University Hospital
StadGhent
Auteur 2
NaamLEROY
InitialenBP
InstituutGhent University Hospital
StadGhent
Auteur 3
NaamKESTELYN
InitialenP
InstituutGhent University Hospital
StadGhent
Auteur 4
NaamDE LAEY
InitialenJJ
InstituutGhent University Hospital
StadGhent
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