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Steroid-induced interface fluid syndrome after LASIK
Tomás Moya Calleja1, Yolanda Iribarne Ferrer, Alicia Sanz Jorge
1Clinica Baviera, Instituto Oftalmológico Europeo, Valencia, Spain. moyacalleja@hotmail.com
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|February 27, 2009
Summary
Interface fluid syndrome after LASIK can cause vision loss due to steroid-induced high intraocular pressure (IOP). Early diagnosis and stopping corticosteroid treatment are crucial for recovery.
Area of Science:
- Ophthalmology
- Corneal Surgery
Background:
- Laser-assisted in situ keratomileusis (LASIK) is a common refractive surgery.
- Steroid-induced elevation of intraocular pressure (IOP) is a known complication of LASIK post-operative care.
Observation:
- Four eyes of three patients developed interface fluid syndrome after LASIK.
- Patients presented with symptoms similar to diffuse lamellar keratitis (DLK).
- Ocular manifestations included vision loss, lamellar interface fluid, and elevated IOP.
Findings:
- Slit-lamp microscopy confirmed a fluid-filled space between the LASIK flap and stromal bed.
- Discontinuation of topical corticosteroids led to rapid symptom resolution.
Implications:
- Steroid-induced IOP elevation post-LASIK can lead to interface fluid syndrome.
- Early differential diagnosis is vital to prevent vision loss.
- Promptly stopping corticosteroid treatment is key to managing this condition.
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