Proposed Mechanism for Retinal Tears after LASIK: An Experimental Model

Christina Flaxel, Young H. Choi, Michael Sheety, Stephen Christopher Oeinck, Joe Y. Lee, Peter J. McDonnell

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Objective: To demonstrate axial length changes associated with anterior shift of the lens/iris diaphragm and anterior vitreous base in human cadaver eyes during suction ring application preceding Moria LASIK, and to propose that these changes may be associated with anterior retinal tears. Design: Human eye study. Materials: Eight human eye bank eyes ranging in age from 65 to 73 years. Two eyes had a history of intraocular surgery involving cataract extraction and intraocular lens implantation. Intervention: Measurements of intraocular pressure via internal manometer and Tono-Pen, anterior chamber depth, and axial length before and after application of a Moria LASIK suction ring. Main Outcome Measures: Change in anterior chamber depth and axial length after Moria LASIK suction ring application. Results: Axial length increases (mean change = 1.125 mm, P = 0.02) after application of the suction ring, whereas anterior chamber depth shows no significant difference (mean change = -0.01 mm, P = 0.98), suggesting anterior movement of the vitreous base resulting in traction on the anterior retina. Conclusion: Axial length increase with anterior displacement of the vitreous base during suction ring placement might predispose susceptible eyes to anterior retinal tears during and after LASIK.

Original languageEnglish (US)
Pages (from-to)24-27
Number of pages4
JournalOphthalmology
Volume111
Issue number1
DOIs
StatePublished - Jan 2004
Externally publishedYes

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Laser In Situ Keratomileusis
Retinal Perforations
Suction
Theoretical Models
Anterior Chamber
Eye Banks
Intraocular Lens Implantation
Cataract Extraction
Traction
Iris
Diaphragm
Intraocular Pressure
Cadaver
Lenses
Retina
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Flaxel, C., Choi, Y. H., Sheety, M., Christopher Oeinck, S., Lee, J. Y., & McDonnell, P. J. (2004). Proposed Mechanism for Retinal Tears after LASIK: An Experimental Model. Ophthalmology, 111(1), 24-27. https://doi.org/10.1016/j.ophtha.2003.05.016

Proposed Mechanism for Retinal Tears after LASIK : An Experimental Model. / Flaxel, Christina; Choi, Young H.; Sheety, Michael; Christopher Oeinck, Stephen; Lee, Joe Y.; McDonnell, Peter J.

In: Ophthalmology, Vol. 111, No. 1, 01.2004, p. 24-27.

Research output: Contribution to journalArticle

Flaxel, C, Choi, YH, Sheety, M, Christopher Oeinck, S, Lee, JY & McDonnell, PJ 2004, 'Proposed Mechanism for Retinal Tears after LASIK: An Experimental Model', Ophthalmology, vol. 111, no. 1, pp. 24-27. https://doi.org/10.1016/j.ophtha.2003.05.016
Flaxel C, Choi YH, Sheety M, Christopher Oeinck S, Lee JY, McDonnell PJ. Proposed Mechanism for Retinal Tears after LASIK: An Experimental Model. Ophthalmology. 2004 Jan;111(1):24-27. https://doi.org/10.1016/j.ophtha.2003.05.016
Flaxel, Christina ; Choi, Young H. ; Sheety, Michael ; Christopher Oeinck, Stephen ; Lee, Joe Y. ; McDonnell, Peter J. / Proposed Mechanism for Retinal Tears after LASIK : An Experimental Model. In: Ophthalmology. 2004 ; Vol. 111, No. 1. pp. 24-27.
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