Interface fluid after laser in situ keratomileusis.
We report a case in which raised intraocular pressure (IOP) was associated with interface fluid after uneventful bilateral laser in situ keratomileusis (LASIK). The patient presented with diffuse lamellar keratitis in both eyes 3 weeks postoperatively that was treated aggressively with topical corticosteroids. A steroid-induced rise in IOP resulted in interface fluid accumulation and microcystic edema. Measurements with the Goldmann tonometer revealed an IOP of 3.0 mm Hg in both eyes. However, Schiotz tonometry recorded a pressure of 54.7 mm Hg in both eyes. Reduction in the dosage of topical corticosteroid and medical treatment of the raised IOP resulted in resolution of the microcystic edema and interface fluid accumulation. This case highlights the inaccuracies of IOP measurement after LASIK and the resulting complications.
Fogla
R
R
Cornea Services, Sankara Nethralaya, Chennai 600 006, Tamil, Nadu, India. mrf@sankaranethralaya.org
Rao
S K
SK
Padmanabhan
P
P
D000287:Administration, Topical; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D001826:Body Fluids / Q000378:metabolism*; D003315:Cornea / Q000187:drug effects* / Q000378:metabolism; D015715:Corneal Edema / Q000139:chemically induced* / Q000188:drug therapy; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D007634:Keratitis / Q000188:drug therapy; D020731:Keratomileusis, Laser In Situ; D008297:Male; D009798:Ocular Hypertension / Q000139:chemically induced* / Q000188:drug therapy; D011239:Prednisolone
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011239:Prednisolone