Fogla R, Rao S K, Padmanabhan P
Cornea Services, Sankara Nethralaya, Chennai 600 006, Tamil, Nadu, India.
J Cataract Refract Surg. 2001 Sep;27(9):1526-8. doi: 10.1016/s0886-3350(00)00881-6.
We report a case in which raised intraocular pressure (IOP) was associated with interface fluid after uneventful bilateral laser in situ keratomileusis (LASIK). The patient presented with diffuse lamellar keratitis in both eyes 3 weeks postoperatively that was treated aggressively with topical corticosteroids. A steroid-induced rise in IOP resulted in interface fluid accumulation and microcystic edema. Measurements with the Goldmann tonometer revealed an IOP of 3.0 mm Hg in both eyes. However, Schiotz tonometry recorded a pressure of 54.7 mm Hg in both eyes. Reduction in the dosage of topical corticosteroid and medical treatment of the raised IOP resulted in resolution of the microcystic edema and interface fluid accumulation. This case highlights the inaccuracies of IOP measurement after LASIK and the resulting complications.
我们报告了一例在双眼准分子原位角膜磨镶术（LASIK）术后眼压升高与界面液相关的病例。该患者术后3周双眼出现弥漫性板层角膜炎，积极使用局部皮质类固醇进行治疗。皮质类固醇引起的眼压升高导致界面液积聚和微囊性水肿。用戈德曼眼压计测量显示双眼眼压为3.0 mmHg。然而，施-氏眼压计记录的双眼眼压为54.7 mmHg。局部皮质类固醇剂量的减少以及对升高眼压的药物治疗导致微囊性水肿和界面液积聚消退。该病例突出了LASIK术后眼压测量的不准确及其导致的并发症。
