ESCRS - P192 - LATE-ONSET REFRACTORY PRIMARY OPEN-ANGLE GLAUCOMA AFTER LASIK SURGERY: A CASE THAT WARRANTS DEEPER REFLECTION?

LATE-ONSET REFRACTORY PRIMARY OPEN-ANGLE GLAUCOMA AFTER LASIK SURGERY: A CASE THAT WARRANTS DEEPER REFLECTION?

Published 2023 - 27th ESCRS Winter Meeting

Reference: P192 | Type: Free Paper Submission | DOI: 10.82333/yb69-1r39

Authors: Asma Zaghdoudi* 1 , Riadh Messaoud 1 , Molka Khairallah 1 , Sameh Mbarek 1 , Wafa Ammari 1 , Anis Mahmoud 1

1Taher Sfar hospital,Mahdia,Tunisia

Purpose

To report a case of refractory primary open-angle glaucoma occuring many years after successful lasik surgery.

Setting

Case report

Methods

cas report

Results

A 52-year-old man, with family history of primary open-angle glaucoma (POAG), presented with bilateral marked gradual decreased vision. Ophthalmic examination showed advanced POAG  in both eyes. Visual acuity was reduced to light perception bilaterally. Intraocular pressure, measured with aplanation tonometry, was 18 mmHg under quadritherapy. Central corneal thickness was 410 μm. Fundus examination showed a totally cupped optic disk in both eyes. Optic disk optical coherence  tomography (OCT) showed a markedly reduced RNFL in both eyes (28 μm). A thorough review of medical history revealed that the patient was myopic (SE: -6,50 Diopters) and underwent uneventful lasik surgery 6 years ago, with subsequent rapid deterioration of visual function.

Conclusion

This case report raises the question about the relationship between the rapid progression of PAOG and refractive surgery.

Myopic Patients candidates to lasik surgery should be thoroughly screened for risk of PAOG to ovoid unexpected surprises.