ESCRS - P220 - INTERFACE FLUID SYNDROME AFTER LASIK : A POTENTIAL LONG-TERM REFRACTIVE SURGERY COMPLICATION. A CASE REPORT

INTERFACE FLUID SYNDROME AFTER LASIK : A POTENTIAL LONG-TERM REFRACTIVE SURGERY COMPLICATION. A CASE REPORT

Published 2022 - 26th ESCRS Winter Meeting

Reference: P220 | Type: Abstracts | DOI: 10.82333/3gvj-tw58

Authors: Pablo Andres Cisneros Arias* 1 , Julia Aramburu 1 , Marta Suñer 1 , Miguel Castillo 1 , Ismael Bakkali-El Bakkali 1 , Eva Nuñez-Moscarda 1 , Constanza Caramello 1 , Dolores Diaz-Barreda 1 , Marta Orejudo 1 , Ana Boned 1 , Javier Ascaso-Puyuelo 2 , Enrique Minguez 1

1Ophthalmology,Hospital Clinico Universitario Lozano Blesa,Zaragoza,Spain, 2Ophthalmology,Hospital Clinico Universitario Lozano Blesa,Zaragoza,Spain;Faculty of Medicine,Universidad de Zaragoza,Zaragoza,Spain

Purpose

To describe a case of a patient with history of LASIK surgery who develops interface fluid syndrome  (also known as intraocular pressure (IOP)-induced interlamellar stromal keratitis) and the importance of obtaining an appropriate diagnosis to perform a correct treatment.

Setting

LASIK surgery patients may present interface fluid syndrome as a potential complication. In general, the cases described tend to occur within a few months of performing the technique. However, in the context of uveitis, silent glaucoma, or corticosteroid treatment, some cases have been described several years after surgery.

Methods

We present the case of a 43-year-old woman with diabetic retinopathy and a history of LASIK surgery 14 years ago, who came to the emergency room with decreased visual acuity (VA) in the left eye after being treated with an intravitreal corticosteroid implant. Her left eye pressure was 36 mm Hg. After the examination, she was diagnosed with interface fluid syndrome in her left eye.

Results

The treatment consisted of lowering intraocular pressure. Topical timolol, oral acetazolamide, bimatoprost, and brinzolamide were used. After monitoring intraocular pressure, the patient recovered her baseline VA.

Conclusion

This case shows the importance of considering this diagnosis in patients with a history of LASIK surgery who present elevated IOP and corneal haze in order to establish an adequate treatment, which in this case is to lower the eye pressure. In general, a full recovery is expected.