Progression to end-stage glaucoma after laser in situ keratomileusis.
We describe 2 patients, one a glaucoma suspect because of family history and the other with juvenile glaucoma. Both patients developed complications after laser in situ keratomileusis that required frequent topical steroids, leading to steroid-induced glaucoma. In both cases, corneal edema from the acute rise in intraocular pressure (IOP) caused inaccurate IOP measurement by standard methods. The inability to recognize glaucoma early may have resulted in significant irreversible vision loss.
Shaikh
Naazli M
NM
Department of Ophthalmology, Stanford University School of Medicine, Stanford, California 94305, USA.
Shaikh
Saad
S
Singh
Kuldev
K
Manche
Edward
E
D000328:Adult; D015715:Corneal Edema / Q000209:etiology; D018450:Disease Progression; D005901:Glaucoma / Q000139:chemically induced* / Q000175:diagnosis / Q000601:surgery; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D007429:Intraocular Pressure; D020731:Keratomileusis, Laser In Situ; D008297:Male; D009798:Ocular Hypertension / Q000150:complications; D011183:Postoperative Complications / Q000188:drug therapy; D011239:Prednisolone / Q000009:adverse effects* / Q000031:analogs & derivatives*; D014065:Tonometry, Ocular; D014130:Trabeculectomy; D014792:Visual Acuity; D014794:Visual Fields
D005938:Glucocorticoids; C009935:prednisolone acetate; D011239:Prednisolone