title: Refractory intraocular pressure increase after photorefractive keratectomy.
abstract: A patient with developmental angle anomaly developed a corticosteroid-induced refractory increase in intraocular pressure (IOP) after photorefractive keratectomy (PRK). Trabeculectomy was required to reduce the pressure. Although rare, corticosteroid-induced refractory IOP increase is a serious complication of PRK and may necessitate trabeculectomy. More frequent monitoring of IOP in post-PRK patients and a re-evaluation of postoperative treatment are indicated.
authors.affiliation: Department of Ophthalmology, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Levy
authors.forename: L
authors.initials: L
authors.lastname: Hefetz
authors.forename: D
authors.initials: D
authors.lastname: Zadok
authors.forename: D
authors.initials: D
authors.lastname: Krakowski
authors.forename: P
authors.initials: P
authors.lastname: Nemet
mesh_terms: D000328:Adult; D003907:Dexamethasone / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D054018:Lasers, Excimer; D008297:Male; D018903:Photorefractive Keratectomy; D011183:Postoperative Complications; D012029:Refraction, Ocular; D012086:Reoperation; D014130:Trabeculectomy; D014792:Visual Acuity
chemical_list: D003907:Dexamethasone