J Korean Ophthalmol Soc.  2014 Jan;55(1):129-132.

Delayed-Onset Interface Fluid Syndrome after LASIK Surgery in Traumatic Hyphema

• Jung HG
• Lee JR
• Lee SU
• Kim YD

Abstract

A 50-year-old female was referred to our clinic with visual disturbance, hyphema and increased intraocular pressure (IOP) in her right eye 7 days after experiencing blunt trauma in that eye. She had undergone uncomplicated laser in situ keratomileusis (LASIK) on both eyes 10 years earlier. At initial examination, the best corrected visual acuity (BCVA) in her right eye was counting fingers at 2 feet with no correction. Central Goldmann applanation tonometry (GAT) showed an IOP of 7 mm Hg. Peripheral digital tonometry showed the IOPs in her right eye superiorly, nasally, temporally, and inferiorly were 36 mm Hg, 35 mm Hg, 34.5 mm Hg and 36.5 mm Hg, respectively. Slit-lamp examination showed diffuse epithelial and stromal edema and a blood clot 1 mm in height in the anterior chamber. Spectral domain scanning laser ophthalmoscope/optical coherence tomography (SD-SLO/OCT) images showed a pocket of fluid between the LASIK flap and the underlying stroma. The patient was started on anti-inflammatory agent and IOP lowering agents. After 15 days of treatment, IOP measured with GAT was 10 mm Hg, slit-lamp examination showed that epithelial and stromal edema had disappeared, and OCT showed no fluid between the corneal flap and stroma.

Keyword

Delayed-onset interface fluid syndrome; Interface fluid syndrome; LASIK

MeSH Terms

Anterior Chamber
Edema
Female
Fingers
Foot
Humans
Hyphema*
Intraocular Pressure
Keratomileusis, Laser In Situ*
Manometry
Middle Aged
Visual Acuity

Figure

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  Figure 1. Slit-lamp examination showing diffuse epithelial and stromal edema, and 1 mm height blood clot 1 mm height in the anterior chamber of the right eye.

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  Figure 2. SD-SLO/OCT images of the cornea of the right eye with central edema and a fluid-filled pocket at the LASIK interface.

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  Figure 3. OCT images of cornea after 9 days of treatment, showing a decrease in interface fluid.

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  Figure 4. OCT images after 15 days of treatment, interface fluid is not observed.

Reference

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