Asymptomatic retinal detachment is uncommon in myopes

This retrospective study considered all myopes who underwent ophthalmic evaluation prior to LASIK at a single site over a four-year period. Of the 6,547 myopes identified (12, 815 eyes), five eyes or 0.04 percent experienced asymptomatic retinal detachment (ARD). Three eyes underwent successful scleral buckling procedure while two patients were lost to follow-up. Despite the rareness of clinical ARD, the authors concluded that a dilated fundus examination should be performed before LASIK in order to detect and treat all retinal pathologies, including ARD. Early detection may prevent the progression of ARD.