title: [Complication cascade after hyperopic LASIK].
abstract: This report concerns the case of a 28-year-old female patient who was treated with topical steroids for 2 years following complicated hyperopic LASIK surgery with a re-treatment including a re-lift of the flap. A steroid-induced rise in the intraocular pressure (IOP) was subsequently observed on the treated eye, together with a glaucomatous subtotal destruction of the optic nerve, resulting in a residual vision of 1/15. An erroneously low IOP measurement, which was probably the reason for the delay in detecting steroid-induced glaucoma, has been reported in several cases concerning LASIK patients. The reason for the unusually severe course in the case in question can only be presumed, namely a possible accumulation of fluid at the interface or altered biomechanics following hyperopic LASIK surgery. The need for a thorough postoperative examination following refractive surgery must be emphasized. This case shows a cascade of complications following hyperopic LASIK surgery resulting in the functional blindness of one eye.
authors.affiliation: Augenklinik Dardenne, Friedrich-Ebert-Str. 23-25, 53177, Bonn, Deutschland. handzel@dardenne.de
authors.forename: D M
authors.initials: DM
authors.lastname: Handzel
authors.forename: B V
authors.initials: BV
authors.lastname: Stanzel
authors.forename: S
authors.initials: S
authors.lastname: Briesen
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects*; D019781:Corneal Topography; D003907:Dexamethasone / Q000008:administration & dosage / Q000009:adverse effects*; D003951:Diagnostic Errors; D005260:Female; D005901:Glaucoma / Q000139:chemically induced* / Q000175:diagnosis; D006068:Gonioscopy; D006801:Humans; D006956:Hyperopia / Q000601:surgery*; D007429:Intraocular Pressure / Q000187:drug effects*; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008134:Long-Term Care; D009883:Ophthalmic Solutions; D019721:Ophthalmoscopes; D009900:Optic Nerve / Q000187:drug effects; D011182:Postoperative Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery; D012086:Reoperation; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000187:drug effects; D014794:Visual Fields / Q000187:drug effects
chemical_list: D000893:Anti-Inflammatory Agents; D009883:Ophthalmic Solutions; D003907:Dexamethasone