A 42 y/o lady who candidates for PRK for myopia has history of CSCR which treated with laser photocoagulation 5 years ago. BCVA of both eyes are 9/10 and 10/10 with mild metamorphopsia.
Dear Dr. Rahat,
In my opinion it will be no influence of PRK, but NOT LASIK on the patients eye, who underwent laser treatment for CSCR. It is interesting to know was it really CSCR, was it bilateral, since it's more common in males with A-type nervous system (hyperreactivity, etc.) monolateral and recently was revealed an association between hystory of CSCR and cardiovascular disorders developed latter on after ocular event
PRK will not affect patient for crsc. In my opinion also steroids drop that patient will take after PRK will not affect. Some recurrence could occur apart from prk if the CRSC was part of spread epitheliopathy so take care also in the future.
As stated above, surgical trauma doesn't cause CSCR: it is not an inflammatory process. Secondly, it is less common in women, though this gender bias is no longer strong with more women having type A personality. Thirdly, myopia protects against CSCR due to thinner choroid. So the only way this lady can have CSC after refractive procedure is due to anxiety about surgery. Finally, it is worth checking the OCT (old pictures and fresh) to check if she doesn't have any myopic foveoschisis.
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