Bamashmus Mahfouth A, Saleh Mahmoud F
Eye Department, Faculty of Medicine and Health Sciences, Sana'a University, Republic of Yemen ; Refractive Unit, Magrabi Eye Hospital, Sana'a, Republic of Yemen.
Saudi J Ophthalmol. 2013 Apr;27(2):125-8. doi: 10.1016/j.sjopt.2013.03.003. Epub 2013 Apr 4.
Interface fluid syndrome after laser in situ keratomileusis (LASIK) is a rare but visually threatening postoperative complication. In this case series we present 8 post-LASIK eyes that developed interface fluid syndrome after prolonged steroid use. Patients presented with signs mimicking diffuse lamellar keratitis (DLK) that worsened with steroid treatment. Slit-lamp examination revealed corneal haze and an optically clear fluid-filled space between the flap and stroma. The IOP was high in all cases. Topical steroids were stopped and replaced with topical and systemic anti-glaucoma medications resulting in a dramatic improvement in visual acuity.
准分子原位角膜磨镶术(LASIK)后界面液综合征是一种罕见但对视功能有威胁的术后并发症。在本病例系列中,我们报告了8只LASIK术后眼睛,这些眼睛在长期使用类固醇后出现了界面液综合征。患者表现出类似弥漫性板层角膜炎(DLK)的症状,且在类固醇治疗后病情加重。裂隙灯检查显示角膜混浊,以及瓣与基质之间有一个光学透明的充满液体的间隙。所有病例眼压均升高。停用局部类固醇,改用局部和全身抗青光眼药物治疗后,视力有显著改善。