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Updated: Jul 14, 2026
05:05
Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
[Steroid glaucoma after laser in situ keratomileusis].
S Lautebach1, J Funk, T Reinhard
1Universitäts-Augenklinik Freiburg. Sonja.Lautebach@uniklinik-freiburg.de
Klinische Monatsblatter Fur Augenheilkunde
|May 23, 2007
Summary
Steroid-induced glaucoma after laser in situ keratomileusis (LASIK) can be severe. Early diagnosis is crucial, as applanation tonometry may underestimate intraocular pressure (IOP) in these rare cases.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Steroid-induced glaucoma is a potential complication following LASIK.
Observation:
- A 32-year-old patient developed steroid-induced glaucoma post-LASIK.
- Initial applanation tonometry readings were normal after steroid cessation.
- One year later, the patient presented with high intraocular pressure (IOP) and optic nerve damage.
Findings:
- Elevated IOP post-LASIK can cause fluid accumulation, underestimating true pressure via applanation tonometry.
- Persistent elevated IOP can occur even after discontinuing steroid therapy.
- This rare LASIK complication can lead to severe visual impairment if undiagnosed.
Implications:
- Highlights the need for vigilant IOP monitoring after LASIK, especially with steroid use.
- Emphasizes that applanation tonometry may not always accurately reflect IOP in post-LASIK patients.
- Underscores the importance of prompt diagnosis and management to prevent irreversible vision loss.
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