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Published on: February 15, 2022
In vivo confocal microscopic findings in patients with steroid-induced glaucoma after LASIK
Arthur C K Cheng1, Ricky W K Law, Alvin L Young
1Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, 3F, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon, Hong Kong, China. arthurcheng@cuhk.edu.hk
Objective:
To report the confocal microscopic findings of 2 different cases of steroid-induced glaucoma after LASIK.
Design:
Observational case report of 2 cases.
Methods:
Two cases of steroid-induced glaucoma after LASIK were selected. Examination with a white-light tandem slit-scanning confocal microscope was performed in addition to routine slit-lamp biomicroscopy.
Main Outcome Measures:
In vivo confocal findings at the flap interface.
Results:
In both cases, the interfaces were identified at a deeper level than expected. Confocal microscopic examination did not show mononuclear cells and granulocytes typically seen in patients with classic diffuse lamellar keratitis.
Conclusion:
Our findings confirm that steroid-induced glaucoma after LASIK is not associated with the collection of inflammatory cells. The treatment option of lowering the intraocular pressure is effective in treating the disease, even without anti-inflammatory medications. Confocal in vivo microscopy is a useful tool to study the course of steroid-induced glaucoma after LASIK in humans.
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