Pressure Induced Interlamellar Keratitis, Uveitis And Glaucoma After Lasik (Case Report)
Published 2024 - 42nd Congress of the ESCRS
Reference: PO1127 | Type: Poster | DOI: 10.82333/f5sw-f225
Authors: Ulugbek Rasul Karimov* 1 , Rasul Karimov 2 , Sharofiddin Nizamhodjaev 3 , Feruz Saitqulov 2
1Guliston Koz,Gulistan,Uzbekistan, 2Sirdarya branch Eye mucrosurgery center,Gulistan,Uzbekistan, 3Vedanta,Tashkent,Uzbekistan
Purpose
To describe a case of interlamellar keratitis induced by elevated intraocular pressure (IOP) and uveitis in a patient after LASIK surgery.
Setting
LASIK is the most common method for correcting refractive errors. The method is becoming more and more widespread and is even used for
complicated non-standard types of refractive error. There are several cases of intralemellar keratitis after LASIK reported in the literature, but such a
complicated case has not yet been described in the literature.
Methods
Case report and review of the literature.
Results
The patient is a 47-year-old man. Unilateral moderate myopic astigmatism (OS). Sph (-)3.0 cyl (-)2.0 90° Reverse profile of the iris. CCT 476 μm.
BCVA = 0.6. Rheumatic test is weakly positive, ESR 16 Patient was underwent LASIK surgery. 20 days after surgery VA was 0.6. IOP 11 mm Hg. 23 day after
surgery patient came with complaints of blurred vision and severe pain. Was diagnosed pressure-induced interlamellar stromal keratitis (PISK). Despite the
prescription of antiglaucoma (Azopt, Timolol, Brimonidine) and NSAI (Nevanac) drops IOP could not be normalized within 40 days. A month later,
normalization of IOP and normal refraction result was achieved, the pain subsided. But during this period glaucomatous optic neuropathy developed.
Conclusions
Refractive surgeons should be aware of PISK as a potential complication of LASIK. If there are conditions such as a reverse iris profile, the risk
of developing glaucoma or uveitis, it is better to refrain from refractive surgery or give preference to the PRK method.