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Related Experiment Video

Updated: Jun 2, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

[Complication cascade after hyperopic LASIK].

D M Handzel¹, B V Stanzel, S Briesen

¹Augenklinik Dardenne, Friedrich-Ebert-Str. 23-25, 53177, Bonn, Deutschland. handzel@dardenne.de

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft

|April 13, 2011

Summary

This summary is machine-generated.

Topical steroid use after hyperopic LASIK surgery caused severe glaucoma and vision loss in one eye. Early detection of elevated intraocular pressure is crucial after refractive surgery.

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Area of Science:

Ophthalmology
Refractive Surgery

Background:

Hyperopic LASIK surgery can be complex, sometimes requiring re-treatment.
Topical steroid use is common post-LASIK for inflammation control.

Observation:

A 28-year-old female developed steroid-induced glaucoma after 2 years of topical steroid use for complicated hyperopic LASIK.
The patient experienced significant optic nerve damage and vision loss (1/15) in the treated eye.

Findings:

Steroid-induced elevated intraocular pressure (IOP) led to glaucomatous optic neuropathy.
An erroneously low IOP measurement may have delayed diagnosis.
Possible factors include fluid accumulation or altered biomechanics post-hyperopic LASIK.

Implications:

This case highlights the risk of severe complications from prolonged topical steroid use post-LASIK.
Emphasizes the critical need for diligent postoperative IOP monitoring in refractive surgery patients.
Underscores the potential for functional blindness due to delayed diagnosis of steroid-induced glaucoma.