Author/Authors :
Moshirfar, Majid John A. Moran Eye Center - Department of Ophthalmology and Visual Sciences - University of Utah School of Medicine - Salt Lake City - UT - USA - HDR Research Center - Hoopes Vision - Draper - UT - USA , Wagner, William D Virginia Commonwealth University School of Medicine - Richmond - VA - USA , Linn, Steven H John A. Moran Eye Center - Department of Ophthalmology and Visual Sciences - University of Utah School of Medicine - Salt Lake City - UT - USA , Brown, Tanner W The University of Texas Health Science Center at Houston School of Medicine - Houston - TX - USA , Goldberg, Jackson L The University of Texas Health Science Center at Houston School of Medicine - Houston - TX - USA , Gomez, Aaron T The University of Texas Rio Grande Valley School of Medicine - Edinburg - TX - USA , Ronquillo, Yasmyne C John A. Moran Eye Center - Department of Ophthalmology and Visual Sciences - University of Utah School of Medicine - Salt Lake City - UT - USA , Hoopes, Phillip C John A. Moran Eye Center - Department of Ophthalmology and Visual Sciences - University of Utah School of Medicine - Salt Lake City - UT - USA
Abstract :
Purpose: The purpose of this study was to evaluate the risk of recurrence of optic neuritis after corneal refractive surgery in patients with a history of optic neuritis and to examine the safety and efficacy of the procedure in this population.
Methods: This was a retrospective chart review of patients with a history of optic neuritis who underwent
laser-assisted in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK) at a single tertiary center
from June 1996 to December 2014. Fifteen eyes of 14 patients were included in this study. Visual acuity
before and after the surgery was recorded. Patients were followed-up for over five years postoperatively for
the recurrence of optic neuritis.
Results: The average LogMAR best corrected visual acuity (BCVA) preoperatively was 0.12 ± 0.19 (–0.10 to
0.60) and postoperatively was 0.06 ± 0.10 (–0.10 to 0.30). No eyes lost lines of BCVA. The average LogMAR
uncorrected distance visual acuity (UDVA) after surgery was 0.12 ± 0.13 (0.00 to 0.48). Twenty-eight percent
of patients reached a UDVA of 20/20 or better after refractive surgery. Optic neuritis recurred in 3/15 (20%)
eyes and 3/14 patients (21%).
Conclusion: While corneal refractive procedures appear safe in patients with a history of optic neuritis, our data suggest that their efficacy may be reduced.
Keywords :
Laser vision surgery , LASIK , Multiple sclerosis , Optic Neuritis , PRK
