Amotion after an Excimer Laser

Overview

The increasing number of patients with myopia who had an excimer operationarouses among retinal specialists and refraction surgeons the question whetherlaser operation can cause or accelerate retinal damage and initiate amotion of theretina.During the last 4 years the authors treated 5 patients with amotion of the retinawho were previously subjected to excimer laser surgery on account of severemyopia. The laser procedures were implemented in different departments andthen the patients were referred to us on account of complications.Poorer results and a poorer prognosis were recorded in patients with manifestdegenerative changes of the periphery and with extensive rhegmatogenic mani-festations. In patients without peripheral degeneration the optic functions aftersurgery of amotion were practically unrestricted. The incidence of rhegmatogenicchanges and vitreal traction is according to the authors a contraindication forexcimer procedures and they recommend to refer these patients to a vitreoretinaldepartment.

Key words:
pars plana vitrectomy, amotion, excimer laser