title: In vivo confocal microscopic findings in patients with steroid-induced glaucoma after LASIK.
abstract: OBJECTIVE
  To report the confocal microscopic findings of 2 different cases of steroid-induced glaucoma after LASIK.
  
  
  METHODS
  Observational case report of 2 cases.
  
  
  METHODS
  Two cases of steroid-induced glaucoma after LASIK were selected. Examination with a white-light tandem slit-scanning confocal microscope was performed in addition to routine slit-lamp biomicroscopy.
  
  
  METHODS
  In vivo confocal findings at the flap interface.
  
  
  RESULTS
  In both cases, the interfaces were identified at a deeper level than expected. Confocal microscopic examination did not show mononuclear cells and granulocytes typically seen in patients with classic diffuse lamellar keratitis.
  
  
  CONCLUSIONS
  Our findings confirm that steroid-induced glaucoma after LASIK is not associated with the collection of inflammatory cells. The treatment option of lowering the intraocular pressure is effective in treating the disease, even without anti-inflammatory medications. Confocal in vivo microscopy is a useful tool to study the course of steroid-induced glaucoma after LASIK in humans.
authors.affiliation: Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, 3F, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong, China. arthurcheng@cuhk.edu.hk
authors.forename: Arthur C K
authors.initials: AC
authors.lastname: Cheng
authors.forename: Ricky W K
authors.initials: RW
authors.lastname: Law
authors.forename: Alvin L
authors.initials: AL
authors.lastname: Young
authors.forename: Dennis S C
authors.initials: DS
authors.lastname: Lam
mesh_terms: D000328:Adult; D003315:Cornea / Q000473:pathology; D005260:Female; D005901:Glaucoma / Q000139:chemically induced* / Q000175:diagnosis*; D005938:Glucocorticoids / Q000009:adverse effects*; D006801:Humans; D007429:Intraocular Pressure; D007634:Keratitis / Q000175:diagnosis / Q000188:drug therapy; D020731:Keratomileusis, Laser In Situ; D018613:Microscopy, Confocal; D011183:Postoperative Complications; D011239:Prednisolone / Q000009:adverse effects* / Q000031:analogs & derivatives*; D014794:Visual Fields
chemical_list: D005938:Glucocorticoids; C009935:prednisolone acetate; D011239:Prednisolone