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Research ArticleOriginal Article
Open Access

Vitreoretinal complications in Yemeni patients with keratorefractive surgery

Mahfouth A. Bamashmus, Seddique A. Al-Salahim, Mahmoud F. Saleh, Mohamed A. Awadalla and Nabil A. Tarish
Saudi Medical Journal June 2010, 31 (6) 663-667;
Mahfouth A. Bamashmus
Faculty of Medicine and Health Sciences, Sana'a University, PO Box 19576, Sana'a, Yemen. Tel. +967 733270277. Fax. +967 (1) 210021. E-mail: [email protected]
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Seddique A. Al-Salahim
Faculty of Medicine and Health Sciences, Sana'a University, PO Box 19576, Sana'a, Yemen. Tel. +967 733270277. Fax. +967 (1) 210021. E-mail: [email protected]
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Mahmoud F. Saleh
Faculty of Medicine and Health Sciences, Sana'a University, PO Box 19576, Sana'a, Yemen. Tel. +967 733270277. Fax. +967 (1) 210021. E-mail: [email protected]
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Mohamed A. Awadalla
Faculty of Medicine and Health Sciences, Sana'a University, PO Box 19576, Sana'a, Yemen. Tel. +967 733270277. Fax. +967 (1) 210021. E-mail: [email protected]
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Nabil A. Tarish
Faculty of Medicine and Health Sciences, Sana'a University, PO Box 19576, Sana'a, Yemen. Tel. +967 733270277. Fax. +967 (1) 210021. E-mail: [email protected]
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Abstract

OBJECTIVE: To evaluate vitreoretinal complications in patients undergoing laser keratorefractive surgery.

METHODS: This retrospective observational non-comparative clinical study was carried out between June 2005 and March 2008, and included 4691 consecutive laser keratorefractive surgery procedures for 2480 patients performed in the Department of Refractive Surgery, Yemen Magrabi Hospital, Sana'a, Yemen. Patients were followed up for 12-36 months. The preoperative patient evaluation included manifest and cycloplegic refractions, uncorrected visual acuity, best spectacle-corrected visual acuity, slit-lamp biomicroscopy, and dilated vitreoretinal assessment. Retinal diseases were recorded and analyzed during the preoperative and postoperative care.

RESULTS: Sixty-five (1.4%) of the 4691 eyes had posterior segment pathology requiring intervention. In the preoperative assessment, 57 eyes had prophylactic laser photocoagulation for retinal lesions. Seven eyes developed posterior vitreous detachment postoperatively, and 4 of these required prophylactic laser therapy for lattice degeneration and retinal breaks. Two eyes (0.04%) developed rhegmatogenous retinal detachment, which occurred spontaneously. One patient developed cystoid macular edema in both eyes.

CONCLUSION: Most complications are related to the refractive outcome or to corneal and anterior segment injury. Posterior segment complications are rare, but dilated vitreoretinal assessment is important before and after laser keratorefractive procedures. Patients with suspicious retinal lesions need a comprehensive vitreoretinal evaluation by a retinal specialist.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 31 (6)
Saudi Medical Journal
Vol. 31, Issue 6
1 Jun 2010
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Vitreoretinal complications in Yemeni patients with keratorefractive surgery
Mahfouth A. Bamashmus, Seddique A. Al-Salahim, Mahmoud F. Saleh, Mohamed A. Awadalla, Nabil A. Tarish
Saudi Medical Journal Jun 2010, 31 (6) 663-667;

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Vitreoretinal complications in Yemeni patients with keratorefractive surgery
Mahfouth A. Bamashmus, Seddique A. Al-Salahim, Mahmoud F. Saleh, Mohamed A. Awadalla, Nabil A. Tarish
Saudi Medical Journal Jun 2010, 31 (6) 663-667;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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