Full-Thickness Macular Hole after LASIK for the Correction of Myopia

Purpose To describe 19 patients (20 eyes) who developed a macular hole (MH) after undergoing bilateral LASIK for the correction of myopia. Design Noncomparative, interventional, retrospective, multicenter case series. Participants Nineteen patients (20 eyes) who developed an MH after bilateral LASIK for the correction of myopia at 10 institutions in Venezuela, Colombia, Puerto Rico, Spain, and the United States. Methods Chart review. Main Outcome Measure Macular hole development. Results The MH formed between 1 to 83 months after LASIK (mean, 12.1). In 60% of cases, the MH developed ≤6 months after LASIK, and in 30% of cases it developed ≥1 year after LASIK. Eighteen of 19 (94.7%) patients were female. Mean age was 46 years (range, 25–65). All eyes were myopic (range, −0.50 to −19.75 diopters [mean, −8.9]). Posterior vitreous detachment was not present before and was documented after LASIK in 55% of eyes. A vitrectomy closed the MH on the 14 eyes that underwent surgical management, with an improvement of final best-corrected visual acuity in 13 of 14 (92.8%) patients. Our 20 eyes with a full-thickness MH after LASIK reflect an incidence of approximately 0.02% (20/83938). Conclusion An MH may infrequently develop after LASIK for the correction of myopia. Our study shows that vitreoretinal surgery can be successful in restoring vision for most myopic eyes with an MH after LASIK. Vitreoretinal interface changes may play a role in MH formation after LASIK for the correction of myopia.