Your Patient Is Not A LASIK Candidate. What Do You Tell Them?...
Induced retinal detachment (RD) is always a risk with invasive ophthalmic procedures - and in terms of purely elective refractive lens exchange (RLE) vs medically necessary cataract surgery, how do we approach our patients? Just released systematic reviews and meta-analyses have shown RD occurs at an incidence rate 2x that of cataract surgery. 0.02312% in patients undergoing RLE with more than 24 months of follow-up, compared to 0.01244% for cataract surgery.
These findings mean RD may be classified as an uncommon complication following RLE (approximately 1 in 500), while it still remains a rare occurrence after cataract surgery (about 1 in 1000). And remember factors including axial length as well as the presence or absence of posterior vitreous detachment (PVD), even though not consistently reported, influence the possibility of RD. The significance of these results matter and reminds us of the importance to very carefully manage RLE individuals post-surgery.
Go to the article in the British Journal of Ophthalmology HERE.
-JRM
P.S. ARE YOU AN OD?...THIS IS FOR YOU!
"5 MISTAKES YOUR MAKING UNDERMINING YOUR MEDICAL AUTHORITY...AND HOW TO FIX".
PDF (Free) INSTANT DOWNLOAD: HERE.
Listen on Amazon HERE.
Responses