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To report a case of bilateral serous macular detachment following laser in sit u keratomileusis (LASIK). Observational case report. A 33-year-old man present ed with sudden decrease of vision in both eyes 4 days following uncomplicated LA SIK in both eyes for spherical equivalent of +5.00 diopters sph in the right ey e and +7.00 diopters sph in the left eye. Detailed history with ocular and syst emic examination, fluorescein angiography, and optical coherence tomography were done. Retinal examination had a documentation of retinal pigment epithelium atr ophy in the macular region in both eyes pre-LASIK. A diagnosis of central serou s chorioretinopathy (CSCR) was made in both eyes, with multifocal alterations in the retinal pigment epithelium and a pocket of serous retinal fluid in the macu lar region confirmed on OCT. Late venous phase of fluorescein angiogram demonstr ated multiple hyperfluorescent foci of leakage, more in the right eye with areas of retinal pigment epithelium staining. Preexisting macular pathology, such as retinal pigment epithelium atrophy could be a new contraindication to LASIK for hypermetropia with possible development of CSCR, requiring a careful examination of the fundus pre-LASIK.
A report of 33 cases of bilateral serous macular detachment following laser in sit u keratomileusis (LASIK). spherical equivalent of +5.00 diopters sph in the right ey e and +7.00 diopters sph in the left eye. Detailed history with ocular and syst emic examination, fluorescein angiography, and optical coherence tomography were done. Retinal examination had a documentation of retinal pigment epithelium a diagnosis of central serous s chorioretinopathy (CSCR) was made in both eyes, with multifocal alterations in the retinal pigment epithelium and a pocket of serous retinal fluid in the macu lar region on OCT. Late venous phase of fluorescein angiogram demonstr ated multiple hyperfluorescent foci of leakage, more in the right eye with areas of retinal pigment epithelium stainin g. Preexisting macular pathology, such as retinal pigment epithelium atrophy could be a new contraindication to LASIK for hypermetropia with possible development of CSCR, requiring a careful examination of the fundus pre-LASIK.