Fibrinous anterior uveitis following laser in situ keratomileusis.
A 29-year-old woman who underwent laser in situ keratomileusis (LASIK) for myopic astigmatism in both eyes presented with severe pain, photophobia and decreased visual acuity in the left eye eight days after surgery. Examination revealed severe anterior uveitis with fibrinous exudates in the anterior chamber, flap edema and epithelial bullae. Laboratory investigations for uveitis were negative and the patient required systemic and intensive topical steroids with cycloplegics to control the inflammation. This case demonstrates that severe anterior uveitis may develop after LASIK and needs prompt and vigorous management for resolution.
Parmar
Pragya
P
Institute of Ophthalmology, Joseph Eye Hospital, Tiruchirapalli, Tamil Nadu, India.
Salman
Amjad
A
Rajmohan
M
M
Jesudasan
Nelson C A
NC
D000287:Administration, Topical; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001251:Astigmatism / Q000150:complications / Q000601:surgery; D003519:Cyclopentolate / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005122:Exudates and Transudates / Q000378:metabolism; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D009184:Mydriatics / Q000627:therapeutic use; D009216:Myopia / Q000150:complications / Q000601:surgery; D011239:Prednisolone / Q000008:administration & dosage / Q000031:analogs & derivatives; D013256:Steroids / Q000008:administration & dosage; D014606:Uveitis, Anterior / Q000188:drug therapy / Q000209:etiology* / Q000378:metabolism / Q000473:pathology*
D000893:Anti-Inflammatory Agents; D009184:Mydriatics; D013256:Steroids; C009935:prednisolone acetate; D011239:Prednisolone; D003519:Cyclopentolate