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Urrets-Zavalia syndrome with interface fluid syndrome following laser in situ keratomileusis
Alfonso Vasquez-Perez1, Francesco Aiello1,2, Kirithika Muthusamy1
1Cornea and External Disease Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, EC1V 2PD, London, UK.
Purpose:
We describe the case of a 41-year-old male that underwent laser in situ keratomileusis (LASIK) complicated by Urrets-Zavalia syndrome with interface fluid syndrome and epithelial ingrowth.
Observation:
The patient presented at our institution with headache and blurred vision three weeks after a right microkeratome-assisted LASIK procedure. On examination, the visual acuity was hand movements and the intraocular pressure (IOP) was 45 mmHg with fluid in the flap interface, a fixed pupil in moderate mydriasis, iris transillumination and cells in the anterior chamber. A Baerveldt tube implant was necessary to control the IOP. After three months, the corrected visual acuity was 20/40 with normal IOP and an early cataract.
Conclusion And Importance:
To our knowledge this is the first report of a case of combined Urrets-Zavalia syndrome and interface fluid syndrome after LASIK. We speculate that steroid induced ocular hypertension was the primary cause.
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