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Moshirfar M, Wagner WD, Linn SH, Brown TW, Goldberg JL, Gomez AT, Ronquillo YC, Hoopes, Jr. PC. Corneal Refractive Surgery in Patients with History of Optic Neuritis. JOVR [Internet]. 2019Oct.24 [cited 2024Apr.19];14(4):436–441. Available from: https://knepublishing.com/index.php/JOVR/article/view/5445

https://doi.org/10.18502/jovr.v14i4.5445

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authors

  • Majid Moshirfar

    Majid Moshirfar

    John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA; HDR Research Center, Hoopes Vision, Draper, UT, USA
  • William D. Wagner

    William D. Wagner

    Virginia Commonwealth University School of Medicine, Richmond, VA, USA
  • Steven H. Linn

    Steven H. Linn

    John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA
  • Tanner W. Brown

    Tanner W. Brown

    The University of Texas Health Science Center at Houston School of Medicine, Houston, TX, USA
  • Jackson L. Goldberg

    Jackson L. Goldberg

    The University of Texas Health Science Center at Houston School of Medicine, Houston, TX, USA
  • Aaron T. Gomez

    Aaron T. Gomez

    The University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, USA
  • Yasmyne C. Ronquillo

    Yasmyne C. Ronquillo

    John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA
  • Phillip C. Hoopes, Jr.

    Phillip C. Hoopes, Jr.

    John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA

Published Date

  • Oct 24, 2019
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Corneal Refractive Surgery in Patients with History of Optic Neuritis

Journal of Ophthalmic and Vision Research (JOVR) / October–December 2019, Volume 14, Issue 4 / Pages 436–441

Abstract

Purpose: The 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.


Methods: This 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.


Results: The 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%).


Conclusion: While corneal refractive procedures appear safe in patients with a history of optic neuritis, our data suggest that their efficacy may be reduced.

Keywords:

Laser vision surgery, LASIK, Multiple sclerosis, Optic Neuritis, PRK

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