- Journal of Refractive Surgery
- January 2008 - Volume 24 · Issue 1: 49-51
To present a patient with a prepapillary vascular loop, a congenital anomaly that has been associated with vitreous hemorrhage and retinal vascular occlusion, who underwent refractive surgery.
A 45-year-old man with 2.00 diopters (D) of myopia and a unilateral prepapillary arterial loop presented with an interest in LASIK. After consideration of the theoretical risks of LASIK, the patient underwent photorefractive keratectomy with manual de-epithelialization and a scanning spot excimer laser.
Postoperatively, uncorrected visual acuity was 20/20, visual field testing was normal, and no complications occurred. Follow-up was 4 years.
Surface ablation was a safe method in a low myopic patient with a prepapillary vascular loop. This case emphasizes the importance of a thorough vitreoretinal examination in laser refractive candidates. [J Refract Surg. 2008;24:49-51.]
ABOUT THE AUTHORS
From the Department of Ophthalmology University Clinic, University of Navarra, Pamplona, Spain (Maldonado, Corcóstegui, García-Layana, Salinas-Alaman); and the Department of Ophthalmology, University of Maryland, Baltimore, Md (Rutzen).
Supported in part by Research to Prevent Blindness, New York, NY.
The authors have no proprietary interest in the materials presented herein.
Correspondence: Miguel J. Maldonado, MD, PhD, Dept of Ophthalmology, University Clinic of Navarra, Av Pío XII, 36, 31080 Pamplona, Spain. Tel: 34 948 296290; Fax: 34 948 296500; E-mail: email@example.com
Received: April 13, 2006
Accepted: January 15, 2007
Posted online: April 15, 2007