Many surgeons are sceptical and cautious about RLE on myopes, particularly high myopes under the age of 50. RLE for moderate to high myopes raises concerns about significant complications, especially retinal detachment (RD). In particular, those candidates with long axial lengths and vitreo-retinal changes consistent with axial myopia may be at higher risk of RD after RLE. However, if a myopic patient under age of 50 has significant cataract changes it justifies the risks of performing a RLE procedure.
Case presentation
A 40-year-old female administrator presented for a refractive surgery consultation and declared that she wanted 'freedom from her contact lenses' which were now irritating her eyes causing dry eye. She also noted her spectacles were not cosmetically appealing due to the lens thickness. She was a driver and found she was not comfortable driving at night due to glare and reduced vision.
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