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Central focal interface opacity after laser in situ keratomileusis
G E Fraenkel1, P R Cohen, G L Sutton
1Sydney Refractive Surgery Centre, Chatswood, New South Wales, Australia.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|October 29, 1998
Summary
A rare inflammatory complication after laser in situ keratomileusis (LASIK) can cause sudden vision loss due to central interface opacities. Early corticosteroid treatment can resolve these LASIK complications.
Area of Science:
- Ophthalmology
- Surgical Complications
- Corneal Surgery
Background:
- Laser in situ keratomileusis (LASIK) is a common refractive surgery.
- Acute visual loss following LASIK is rare.
- Central interface opacities post-LASIK have not been well-documented in literature.
Observation:
- Three cases of acute focal stromal opacification within one week of LASIK are presented.
- All cases involved the Summit Apex Plus excimer laser.
- Opacities were associated with acute visual deterioration.
Findings:
- A central circular opacity in the corneal flap-stromal bed interface was observed.
- Variable stromal thinning accompanied the opacities.
- Topical corticosteroid treatment led to resolution in 2-4 weeks.
Implications:
- Central interface opacification is a rare but visually significant LASIK complication.
- Prompt diagnosis and treatment with corticosteroids are crucial.
- Further research into the etiology of this LASIK complication is warranted.