Post-LASIK interface fluid syndrome caused by steroid drops
- PMID: 24227974
- PMCID: PMC3809482
- DOI: 10.1016/j.sjopt.2013.03.003
Post-LASIK interface fluid syndrome caused by steroid drops
Abstract
Interface fluid syndrome after laser in situ keratomileusis (LASIK) is a rare but visually threatening postoperative complication. In this case series we present 8 post-LASIK eyes that developed interface fluid syndrome after prolonged steroid use. Patients presented with signs mimicking diffuse lamellar keratitis (DLK) that worsened with steroid treatment. Slit-lamp examination revealed corneal haze and an optically clear fluid-filled space between the flap and stroma. The IOP was high in all cases. Topical steroids were stopped and replaced with topical and systemic anti-glaucoma medications resulting in a dramatic improvement in visual acuity.
Keywords: Fluid interface; High intraocular pressure; LASIK; Myopia; Steroid drops.
Figures
References
-
- Bailey M.D., Zadnik K. Outcomes of LASIK for myopia with FDA-approved lasers. Cornea. 2007;26(3):246–254. - PubMed
-
- Alió J.L., Muftuoglu O., Ortiz D., Pérez-Santonja J.J., Artola A., Ayala M.J. Ten-year follow-up of laser in situ keratomileusis for myopia of up to −10 diopters. Am J Ophthalmol. 2008;145(1):46–54. - PubMed
-
- Yuen L.H., Chan W.K., Koh J., Mehta J.S., Tan D.T. SingLasik Research Group. A 10-year prospective audit of LASIK outcomes for myopia in 37,932 eyes at a single institution in Asia. Ophthalmology. 2010;117(6):1236–1244. - PubMed
-
- Castoro C.J. Causes of diffuse lamellar keratitis. Ophthalmology. 2002;109(2):400–404. - PubMed
-
- Moshirfar M., Welling J.D., Feiz V., Holz H., Clinch T.E. Infectious and noninfectious keratitis after laser in situ keratomileusis Occurrence, management, and visual outcomes. J Cataract Refract Surg. 2007;33(3):474–483. - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources
