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Presumed late diffuse lamellar keratitis progressing to interface fluid syndrome
Catherine E Wheeldon1, O Bruce Hadden, Rachael L Niederer
1Department of Ophthalmology, University of Auckland, Auckland, New Zealand.
Journal of Cataract and Refractive Surgery
|February 5, 2008
Summary
A 23-year-old man developed presumed late-onset keratitis after laser in situ keratomileusis (LASIK). The condition evolved into interface fluid syndrome despite corticosteroid treatment, showing fluid at the LASIK flap interface.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Ocular Inflammation
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Complications, though rare, can occur post-LASIK.
- Late-onset keratitis is an uncommon post-LASIK presentation.
Observation:
- A 23-year-old male presented with unilateral diffuse lamellar keratitis.
- The keratitis onset was late, occurring after an uneventful LASIK procedure.
- Elevated intraocular pressure was noted initially.
Findings:
- Topical corticosteroid therapy was initiated for presumed keratitis.
- The condition progressed to interface fluid syndrome.
- Fluid pockets were visualized at the LASIK flap interface using slitlamp biomicroscopy and Pentacam Scheimpflug imaging.
Implications:
- This case highlights a rare post-LASIK complication.
- Interface fluid syndrome can manifest following presumed keratitis.
- Advanced imaging aids in diagnosing LASIK flap interface abnormalities.
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