Uveitis-associated flap edema and lamellar interface fluid collection after LASIK.

Abstract

PURPOSE:

To report two cases of corneal pathology associated with anterior uveitis after laser in situ keratomileusis (LASIK).

DESIGN:

Observational case report.

METHODS:

A 47-year-old man and a 50-year-old woman who experienced vision loss and corneal changes associated with acute anterior uveitis after LASIK were examined.

RESULTS:

The 47-year-old man, who had undergone LASIK for low myopia developed an interlamellar fluid pocket at the level of the flap interface, whereas the 50-year-old woman, who underwent LASIK for hyperopia, developed marked flap edema without interface fluid collection.

CONCLUSIONS:

These two cases demonstrated acute corneal fluid accumulation associated with episodes of acute anterior uveitis in eyes that had undergone LASIK. Uveitis should be considered a risk factor for vision threatening corneal complications after LASIK.

• Authors: Stephen D McLeod, Rookaya Mather, David G Hwang, Todd P Margolis
• Journal: American journal of ophthalmology (Am J Ophthalmol) Vol. 139 Issue 6 Pg. 1137-9 (Jun 2005) ISSN: 0002-9394 [Print] United States
• PMID: 15953462 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Glucocorticoids
• prednisolone acetate
• Prednisolone

Topics

• Acute Disease
• Body Fluids (metabolism)
• Corneal Edema (drug therapy, etiology, metabolism)
• Corneal Stroma (drug effects, metabolism)
• Female
• Glucocorticoids (therapeutic use)
• Humans
• Hyperopia (surgery)
• Intraocular Pressure
• Keratomileusis, Laser In Situ
• Male
• Middle Aged
• Myopia (surgery)
• Postoperative Complications
• Prednisolone (analogs & derivatives, therapeutic use)
• Risk Factors
• Surgical Flaps
• Uveitis, Anterior (complications)