ESCRS - P090 - LATE-ONSET INTERFACE FLUID SYNDROME AFTER LASER IN SITU KERATOMILEUSIS

LATE-ONSET INTERFACE FLUID SYNDROME AFTER LASER IN SITU KERATOMILEUSIS

Published 2022 - 26th ESCRS Winter Meeting

Reference: P090 | Type: Abstracts | DOI: 10.82333/8t0h-kt66

Authors: Spyridon Koronis* 1 , Asterios Diafas 2 , Argyrios Tzamalis 1 , Maria Samouilidou 1 , Asimina Mataftsi 1 , Nikolaos Ziakas 1

12nd Department of Ophthalmology of the Aristotle University of Thessaloniki,General Hospital Papageorgiou,Thessaloniki,Greece, 2St Paul’s Eye Unit,Royal Liverpool University Hospital, Liverpool,United Kingdom

Purpose

To present a rare case of late-onset interface fluid syndrome (IFS).

Setting

This is a case presentation from General Hospital Papageorgiou, Thessaloniki, Greece.

Methods

A case report of IFS presenting 19 years after uneventful LASIK.

Results

A 49-year-old woman presented with a 1-month history of gradual visual decrease in her right eye. Complete ophthalmic examination revealed mild anterior stromal edema, increased central corneal thickness and IOP with asymmetrical optic disc cupping suggesting glaucomatous optic neuropathy in her right eye. Anterior segment optical coherence tomography revealed fluid accumulation in the flap interface. Topical administration of antiglaucoma eye drops contributed to corneal edema regression and complete restoration of visual acuity, albeit with a permanent visual field defect.

Conclusion

IFS represents an uncommon complication that could appear years after LASIK. Early recognition and prompt therapeutic intervention contribute to the prevention of permanent optic neuropathy and optimal visual outcome.