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First Author: S.Koh JAPAN
Co Author(s): S. Goto R. Toda T. Soma K. Matsushita N. Maeda K. Nishida
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To report an unusual case of interface fluid syndrome which developed with herpetic keratouveitis and elevated intraocular pressure (IOP) after LASIK
Osaka University Hospital, Osaka, Japan
This is a case report.
A 28-year-old man who had undergone LASIK presented with redness, pain, and blurred vision in his left eye. The best-corrected visual acuity of his left eye was 20/40. He developed interface fluid with herpetic keratouveitis and elevated IOP. The IOP was unmeasurable with the Goldmann applanation tonometer; rebound tonometry showed an IOP of 30 mmHg in the central cornea and 58 mmHg in the superior cornea. Treatment was started with fluorometholone 0.1%, anti-glaucouma eye drops and acyclovir ophthalmic ointment. During the clinical course, the IOP was measured at both the superior and the central cornea using rebound tonometry. Medical treatment of the elevated IOP resulted in resolution of the accumulated interface fluid. The visual acuity of the left eye recovered to 20/13.
This case highlighted the inaccuracies of IOP measurements in the central cornea with interface fluid caused by elevated IOP after LASIK, and showed the efficacy of the IOP measurements at the peripheral cornea using rebound tonometry. In addition, uveitis should be considered a risk factor for interface fluid syndrome after LASIK.