Interlamellar flap edema due to steroid-induced ocular hypertension after laser in situ keratomileusis.

Interlamellar flap edema due to steroid-induced ocular hypertension after laser in situ keratomileusis.

Jpn J Ophthalmol. 2007 May-Jun

Miyai T, Yonemura T, Nejima R, Otani S, Miyata K, Amano S.
Meiwakai Medical Foundation, Miyata Eye Hospital, Miyakonojo, Miyazaki, Japan.

(1)
Meiwakai Medical Foundation, Miyata Eye Hospital, Miyakonojo, Miyazaki, Japan
(2)
Department of Ophthalmology, The University of Tokyo School of Medicine, Tokyo, Japan
(3)
Department of Ophthalmology, The University of Tokyo School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan

Key words: interlamellar flap edema - laser-assisted in situ keratomileusis - ocular hypertension

BACKGROUND: Several recent studies have reported post-laser in situ keratomileusis (LASIK) complications related to a steroid-induced increase in intraocular pressure, including interface fluid and elevated intraocular pressure-induced interlamellar stromal keratitis. CASES: We examined two cases of interlamellar flap edema due to steroid-induced ocular hypertension after uneventful laser in situ keratomileusis.

OBSERVATIONS: Oral acetazolamide and discontinuance of topical steroids were effective for treating interlamellar stromal edema in both cases.

CONCLUSION: A rise in intraocular pressure should be considered a cause of interlamellar stromal edema after LASIK. Jpn J Ophthalmol 2007;51:228-230 (c) Japanese Ophthalmological Society 2007.

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