Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy
Abstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-03-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-019-1077-2 |
| _version_ | 1818516960513622016 |
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| author | Chung Young Kim Young Ho Jung Eun Ji Lee Joon Young Hyon Kyu Hyung Park Tae Woo Kim |
| author_facet | Chung Young Kim Young Ho Jung Eun Ji Lee Joon Young Hyon Kyu Hyung Park Tae Woo Kim |
| author_sort | Chung Young Kim |
| collection | DOAJ |
| description | Abstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3 mmHg on the first postoperative day, but again increased up to 21 mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9 mmHg and interface fluid was resolved. Conclusion IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema. |
| first_indexed | 2024-12-11T00:49:28Z |
| format | Article |
| id | doaj.art-ceb49a2d9f0b49d9854ea38f0312cd6e |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-11T00:49:28Z |
| publishDate | 2019-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-ceb49a2d9f0b49d9854ea38f0312cd6e2022-12-22T01:26:41ZengBMCBMC Ophthalmology1471-24152019-03-011911310.1186/s12886-019-1077-2Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomyChung Young Kim0Young Ho Jung1Eun Ji Lee2Joon Young Hyon3Kyu Hyung Park4Tae Woo Kim5Department of Ophthalmology, Seoul National University Hospital2nd Air Defense Missile Brigade, Republic of Korea Air ForceDepartment of Ophthalmology, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University Bundang HospitalDepartment of Ophthalmology, Seoul National University Bundang HospitalAbstract Background Interface fluid syndrome (IFS) is an unusual complication after laser-assisted in-situ keratomileusis (LASIK). We report the first case of IFS after uncomplicated phacotrabeculectomy in a patient who had undergone LASIK 10 years previously. This case emphasizes the importance of intraocular pressure (IOP) interpretation in eyes that have undergone LASIK. Case presentation A 30-year-old woman with a history of LASIK surgery presented to glaucoma clinic due to uncontrolled IOP despite of maximally tolerable medical treatment. After receiving phacotrabeculectomy, IOP decreased to 3 mmHg on the first postoperative day, but again increased up to 21 mmHg and a diffuse corneal edema with cloudy flap interface was demonstrated by slit-lamp microscopy. Corneal edema was sustained even after the IOP was lowered to 14 mmHg. Spectral-domain optical coherence tomography scanning of the cornea revealed a diffuse, thin fluid pocket in the corneal interface. After laser lysis of the scleral flap sutures, IOP was further decreased to 9 mmHg and interface fluid was resolved. Conclusion IFS should be considered as a possible cause of postoperative corneal edema despite of low IOP in the eyes that underwent LASIK surgery. Additional IOP lowering may be helpful for resolving the corneal edema.http://link.springer.com/article/10.1186/s12886-019-1077-2Interface fluid syndromeLASIKGlaucomaPhacotrabeculectomy |
| spellingShingle | Chung Young Kim Young Ho Jung Eun Ji Lee Joon Young Hyon Kyu Hyung Park Tae Woo Kim Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy BMC Ophthalmology Interface fluid syndrome LASIK Glaucoma Phacotrabeculectomy |
| title | Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy |
| title_full | Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy |
| title_fullStr | Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy |
| title_full_unstemmed | Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy |
| title_short | Delayed-onset interface fluid syndrome after LASIK following phacotrabeculectomy |
| title_sort | delayed onset interface fluid syndrome after lasik following phacotrabeculectomy |
| topic | Interface fluid syndrome LASIK Glaucoma Phacotrabeculectomy |
| url | http://link.springer.com/article/10.1186/s12886-019-1077-2 |
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