Abstract

Two cases of choroidal neovascularization (CNV) occurring after laser in situ keratomileusis (LASIK) are reported. In the first case, an extrafoveal choroidal neovascular membrane, apparently associated with age-related macular degeneration, occurred 3 months after a LASIK procedure on a 64-year old man with hyperopia. Argon laser photocoagulation and subsequent photodynamic therapy were performed and stabilized vision. The second case occurred 3 weeks after LASIK for myopia. The CNV was apparently associated with the myopia. No treatment was recommended and vision stabilized at 20/50. Although the mechanisms are not clear, careful preoperative macular evaluation and attention to symptoms that might herald the presence of CNV are recommended for patients undergoing LASIK.—Hans E. Grossniklaus

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