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Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...

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LASIK and the ocular surface.

¹Minamiaoyama Eye Clinic, Tokyo, Japan. ikuko@tka.att.ne.jp

|October 1, 2008

Summary

LASIK eye surgery can disrupt ocular surface homeostasis, leading to complications like diffuse lamellar keratitis and epithelial ingrowth. Prompt management of these post-LASIK conditions is crucial for visual recovery.

Area of Science:

Ophthalmology
Corneal Surgery
Ocular Surface Disease

Background:

LASIK (Laser-Assisted In Situ Keratomileusis) can impact the ocular surface's delicate balance.
Post-LASIK complications require understanding for effective patient management.

Purpose of the Study:

To review common complications following LASIK surgery.
To discuss the etiology, presentation, and management of these conditions.

Main Methods:

Literature review of post-LASIK complications.
Analysis of inflammatory and regenerative processes affecting the cornea.

Main Results:

Diffuse lamellar keratitis, epithelial ingrowth, recurrent corneal erosion, subepithelial opacity, and dry eye are discussed.

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Management strategies range from conservative (corticosteroids) to surgical interventions (flap lift, irrigation, removal).

Conclusions:

Wound healing post-LASIK can compromise ocular surface homeostasis.
Various complications can arise, necessitating specific diagnostic and therapeutic approaches for optimal outcomes.