2Doç. Dr., Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Retina, İstanbul, Türkiye
3Asist. Dr., Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Retina, İstanbul, Türkiye
4Prof. Dr., Beyoğlu Göz Eğitim ve Araştırma Hastanesi, Retina, İstanbul, Türkiye Purpose: The purpose of this study was to determine the incidence and to characterize peripheral retinal degenerations in myopic patients who received small-incision lenticule extraction (SMILE) surgery.
Material and Methods: This study was carried out at Beyoglu Eye Training and Research Hospital. Patients who underwent SMILE for correction of myopia were included. A complete ophthalmologic examination including measurement of best corrected visual acuity, slit-lamp biomicroscopy, intraocular pressure measurement, dilated fundus examination before the surgery. Demographic variables, axial lenght (AL), and spherical equivalant (SE) were recorded.
Results: We rewieved 560 patients who received SMILE. Of the 68 patients (12.1%) had peripheral retinal degeneration. Mean age was 2 7.3±6.1 years. Mean AL was 25.31±1.42 mm and mean spheric equivalent refractive error was ?4.76 ± 3.06 (?3.50 to ?15.50) diopters Eighteen eyes (26.4%) had lattice degeneration, 16 eyes (23.5%) retinal holes/tears, 13 eyes (19.1%) microcystoid degeneration, 7 eyes (10.3%) snail track degeneration, 7 eyes (10.3%) white without pressure, 5 eyes (7.3%) zonular traction tuft, and 2 eyes (2.9%) pavingstone degeneration. Prophylactic laser retinopexy was performed in 36 eyes (52.9%). During a mean follow-up period of 11.5±11. 7 months, no retinal detachment.occured in study eyes.
Conclusion: Lattice degeneration was found to be the most common retinal peripheral degeneration in study eyes. Retinal detachment was not observed in patients with peripheral retinal degenerations who received SMILE surgery during the period studied.
Keywords : Periphera l retinal degeneration, incidence, myopia, SMILE