Abstract
PurposeThe 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.MethodsThis 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.ResultsThe 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%).ConclusionWhile corneal refractive procedures appear safe in patients with a history of optic neuritis, our data suggest that their efficacy may be reduced.
Highlights
We evaluated the safety and efficacy of corneal refractive surgery in this population. This was a retrospective chart review of all 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 2013
PRK was performed on 4 eyes and LASIK was performed on 11 eyes
Our study examined patients with a history of optic neuritis in order to determine recurrence rates, visual outcomes, and safety of refractive surgery
Summary
There are various potential causes of optic neuritis, including multiple sclerosis (MS), systemic lupus erythematosus, antiphospholipid syndrome, Sjogren’s syndrome, and multiple vasculitides.[1–4]. How to cite this article: Moshirfar M, Wagner WD, Linn SH, Brown TW, Goldberg JL, Gomez AT, Ronquillo YC, Hoopes PC. Refractive Surgery in Patients with Optic Neuritis. LASIK and PRK in Optic Neuritis; Moshirfar et al
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