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It is important to adopt preventive measures for optic neuropathy after LASIK.
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Vitreoretinal stress is induced at the posterior vitreous base during a posterior vitreous detachment after LASIK.
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Macular diseases may be a relative contraindication to LASIK in:
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Patients with high myopia and lacquer cracks
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Patients with angioid streaks and traumatic choroidal ruptures
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Macular hole may develop in myopic eyes after LASIK or photorefractive keratectomy.
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LASIK may be associated with uveitis.
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LASIK may be a safe and efficient option for treating refractive errors in eyes with previous retinal detachment surgery.
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Cryopexy, laser retinopexy, pneumatic retinopexy, or vitrectomy without a scleral band tend not to change the shape or length
of the globe and should be preferred to repair RRD.
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Prophylactic treatment of vitreoretinal pathology before LASIK does not guarantee the prevention of post-LASIK vitreoretinal
complications.
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It is very important to inform patients LASIK only corrects the refractive aspect of myopia, and vitreoretinal complications
after LASIK although infrequent may occur.
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Reasons for poor VA after surgery for RRD post-LASIK include delayed referral to a vitreoretinal specialist.
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