In vivo confocal microscopic findings in patients with steroid-induced glaucoma after LASIK.

OBJECTIVE

To report the confocal microscopic findings of 2 different cases of steroid-induced glaucoma after LASIK.

DESIGN

Observational case report of 2 cases.

METHODS

Two cases of steroid-induced glaucoma after LASIK were selected. Examination with a white-light tandem slit-scanning confocal microscope was performed in addition to routine slit-lamp biomicroscopy.

MAIN OUTCOME MEASURES

In vivo confocal findings at the flap interface.

RESULTS

In both cases, the interfaces were identified at a deeper level than expected. Confocal microscopic examination did not show mononuclear cells and granulocytes typically seen in patients with classic diffuse lamellar keratitis.

CONCLUSION

Our findings confirm that steroid-induced glaucoma after LASIK is not associated with the collection of inflammatory cells. The treatment option of lowering the intraocular pressure is effective in treating the disease, even without anti-inflammatory medications. Confocal in vivo microscopy is a useful tool to study the course of steroid-induced glaucoma after LASIK in humans.