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Accommodative spasm after laser-assisted in situ keratomileusis (LASIK)
Suzanna Airiani1, Richard E Braunstein
1Edward S. Harkness Eye Institute, Columbia University, College of Physicians and Surgeons, New York, NY 10032, USA.
American Journal of Ophthalmology
|June 13, 2006
Summary
Accommodative spasm can occur after laser-assisted in situ keratomileusis (LASIK) surgery, causing headaches and vision changes. Prompt diagnosis and treatment with cycloplegic drops can resolve these symptoms.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery procedure.
- Post-LASIK visual disturbances and headaches warrant thorough investigation.
Observation:
- A 41-year-old woman developed severe headaches two months after LASIK.
- Ophthalmic examination revealed a significant difference between manifest and cycloplegic refraction.
- Brain MRI was normal, ruling out neurological causes.
Findings:
- The patient's symptoms resolved after a six-week course of cyclopentolate 1% eye drops.
- This suggests a diagnosis of accommodative spasm secondary to LASIK.
Implications:
- Accommodative spasm should be considered in the differential diagnosis of post-LASIK patients presenting with unexplained headaches and fluctuating vision.
- Early recognition and appropriate management can lead to symptom resolution and improved patient outcomes.
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