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rhegmatogenous retinal detachment ( rd ) is caused by liquefied vitreous passing through a retinal break into the subretinal space , separating the neurosensory retina from the retinal pigment epithelium .
low myopes [ 0.75 to 2.75 diopters ( dpt ) ] show an odds ratio of 3.14 for rd , and the odds ratio was shown to rise steeply with increasing myopic refractive errors in the population .
refractive surgeries , like laser in situ keratomileusis ( lasik ) and laser - assisted subepithelial keratomileusis , have been popularized for correction of low to moderate myopia .
vision - threatening posterior segment complications may occur after refractive surgeries , including macular hemorrhages , macular holes and rhegmatogenous rd .
the reported incidence of rhegmatogenous rd in lasik patients is not high , ranging from 0.033 to 0.25% [ 9 , 131415 ] .
however , many have regarded a suction ring application during lasik to be a potential risk factor for rhegmatogenous rd , because this procedure may induce vitreous traction and detachment resulting from sudden decompression of the eye [ 16 , 17 ] .
it has been reported that retinal breaks were more commonly located in the inferotemporal quadrant in rhegmatogenous rd after lasik . here , we report on a case with bilateral simultaneous rhegmatogenous rd following lasik surgery .
she was wearing a correction for myopia with a prescription of 6.5 dpt in the right eye and 7.00 dpt in the left eye .
her past medical history was unremarkable . on initial examination , visual acuity was counting fingers at 1 m on the right and 10/10 on the left .
dilated fundus examination revealed a total rd secondary to a retinal tear at approximately 11 o'clock in the right eye .
there was a localized rd secondary to retinal tear at approximately 13 o'clock in the left eye , and the posterior pole was attached ( fig .
the patient underwent pars plana vitrectomy surgery combined with endolaser photocoagulation and silicone oil tamponade in the right eye . a week later , pneumatic retinopexy was done in the left eye . as the retinal tear did not seal , a 360 scleral buckling surgery was performed and the retina was attached . on the last visit ,
risk of rd is 10-fold higher in eyes over 3.0 dpt and is 0.075% in eyes exceeding 10 dpt .
there are several reports on post - lasik rd and most of these cases have high myopia ( > 10 dpt ) [ 21 , 22 ] . increased vitreous liquefaction , earlier posterior vitreous detachment and higher incidence of vitreoretinal degeneration , such as lattice degeneration , are thought to be attributable to the higher prevalence in rhegmatogenous rd in myopes . in our case , there was bilateral rhegmatogenous rd in both eyes at the same time . as far as we know , no such case has been reported previously .
ozdamar et al .   reported a bilateral rd with giant retinal tear following lasik surgery .
reviglio et al .   presented a case with high myopia ( 13.00 + 3.00  15 dpt in the right eye and 13.00 + 3.00  170 dpt in the left eye ) who developed rd 14 h after lasik surgery .
arevalo et al .   evaluated 1,1594 lasik patients with myopia in a 10-year follow - up .
they found rd in 22 eyes of 19 patients during the course ( ranging between 1 month and 10 years ) .
therefore , lasik surgery could not be the only causative factor for rd in these eyes .
there is a positive correlation between rd and the amount of myopia . in a study by ogawa and tanaka , patients with > 15
qin et al .   reported 6 rd cases in 9,598 lasik patients ( 0.033% ) .
as known , myopia increases the risk of rd ( from 0.70 to 6% ) .
the difference may be due to detailed fundus examination and preventive interventions prior to lasik surgery .
it was in accordance with two previous large series which reported 16.3 and 27.3 months , respectively [ 22 , 27 ] .
all the previously reported cases in the literature were either unilateral rd or bilateral rd presenting at separate times following lasik .
simultaneous rd patients , as a subgroup of bilateral rd , may have more severe retinal weakness .
younger patients with myopia and coexisting retinal degenerations may be predisposed to simultaneous rd as in this case . to conclude , although lasik surgery is still an effective and safe method used to correct myopia , bilateral simultaneous rd should be included in the postoperative lasik complications .
a thorough and careful retinal examination should be done before surgery , particularly in young myopic patients .
a 21-year - old woman developed simultaneous rhegmatogenous retinal detachment after laser in situ keratomileusis ( lasik ) in both eyes . 
 she underwent pars plana vitrectomy surgery combined with endolaser photocoagulation and silicone oil tamponade in the right eye . a week later , pneumatic retinopexy was done in the left eye . as the retinal tear did not seal , 360 scleral buckling surgery was performed and retina was attached . bilateral simultaneous rhegmatogenous retinal detachment after lasik for correction of myopia can be a serious complication . 
 patients should be informed about the possibility of this complication .