The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis

Purpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year...

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Main Authors: Majid Moshirfar, Maylon Hsu, Julia Schulman, Joseph Armenia, Shameema Sikder, M. Elizabeth Hartnett
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2012/904215
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author Majid Moshirfar
Maylon Hsu
Julia Schulman
Joseph Armenia
Shameema Sikder
M. Elizabeth Hartnett
author_facet Majid Moshirfar
Maylon Hsu
Julia Schulman
Joseph Armenia
Shameema Sikder
M. Elizabeth Hartnett
author_sort Majid Moshirfar
collection DOAJ
description Purpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year study period, 1 of 4,876 eyes which had LASIK or PRK at the Moran Eye Center was diagnosed with CSCR. One other patient was referred from an outside center, developed CSCR symptoms one month after PRK. Both patients were managed conservatively with a final visual acuity of 20/20 or better. All other patients presented 4 or more years after refractive surgery. Conclusions. We report the first 2 CSCR cases developing within one month after PRK. The low incidence argues against a causal association. Topical corticosteroids or anxiety may elevate cortisol levels presenting therapeutic challenges for the management of CSCR after PRK or LASIK.
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issn 2090-004X
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spelling doaj-art-04e9341c4cfe4e2aab41fd849c3cc6692025-08-20T02:03:08ZengWileyJournal of Ophthalmology2090-004X2090-00582012-01-01201210.1155/2012/904215904215The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ KeratomileusisMajid Moshirfar0Maylon Hsu1Julia Schulman2Joseph Armenia3Shameema Sikder4M. Elizabeth Hartnett5John A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USAJohn A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USAJohn A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USASchool of Medicine and Biomedical Sciences and Ira G. Ross Eye Institute, University at Buffalo, State University of New York, Buffalo, NY 4260, USAWilmer Eye Institute, Johns Hopkins University, Baltimore, MD 21287, USAJohn A. Moran Eye Center, University of Utah Salt Lake City, UT 84121, USAPurpose. To assess the incidence of central serous chorioretinopathy (CSCR) following laser in situ keratomileusis (LASIK) and photorefractive keratectomy (PRK). Methods. A chart review was performed to identify all patients with CSCR and a previous history of LASIK or PRK. Results. Over the 6-year study period, 1 of 4,876 eyes which had LASIK or PRK at the Moran Eye Center was diagnosed with CSCR. One other patient was referred from an outside center, developed CSCR symptoms one month after PRK. Both patients were managed conservatively with a final visual acuity of 20/20 or better. All other patients presented 4 or more years after refractive surgery. Conclusions. We report the first 2 CSCR cases developing within one month after PRK. The low incidence argues against a causal association. Topical corticosteroids or anxiety may elevate cortisol levels presenting therapeutic challenges for the management of CSCR after PRK or LASIK.http://dx.doi.org/10.1155/2012/904215
spellingShingle Majid Moshirfar
Maylon Hsu
Julia Schulman
Joseph Armenia
Shameema Sikder
M. Elizabeth Hartnett
The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis
Journal of Ophthalmology
title The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis
title_full The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis
title_fullStr The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis
title_full_unstemmed The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis
title_short The Incidence of Central Serous Chorioretinopathy after Photorefractive Keratectomy and Laser In Situ Keratomileusis
title_sort incidence of central serous chorioretinopathy after photorefractive keratectomy and laser in situ keratomileusis
url http://dx.doi.org/10.1155/2012/904215
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