2020–2021 BCSC Basic and Clinical Science Course™
13 Refractive Surgery
Chapter 2: Patient Evaluation
Dilated Fundus Examination
A dilated fundus examination before refractive surgery is made to ensure that the posterior segment is normal. Special attention should be given to the macula, optic nerve (glaucoma, optic nerve drusen), and peripheral retina (retinal breaks, detachment). Patients and surgeons should realize that highly myopic eyes are naturally at increased risk of retinal detachment (see Chapter 10), unrelated to refractive surgery. The patient should be evaluated by a retinal specialist if any concerning retinal pathology is discovered.
Alió JL, Grzybowski A, El Aswad A, Romaniuk D. Refractive lens exchange. Surv Ophthalmol. 2014;59(6):579–598.
Packard R. Refractive lens exchange for myopia: a new perspective? Curr Opin Ophthalmol. 2005;16(1):53–56.
Excerpted from BCSC 2020-2021 series: Section 13 - Refractive Surgery. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.