Vasquez-Perez Alfonso, Aiello Francesco, Muthusamy Kirithika, Tuft Stephen
Cornea and External Disease Department, Moorfields Eye Hospital NHS Foundation Trust, 162 City Road, EC1V 2PD, London, UK.
Department of Experimental Medicine, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.
Am J Ophthalmol Case Rep. 2018 Dec 18;13:96-98. doi: 10.1016/j.ajoc.2018.12.015. eCollection 2019 Mar.
We describe the case of a 41-year-old male that underwent laser in situ keratomileusis (LASIK) complicated by Urrets-Zavalia syndrome with interface fluid syndrome and epithelial ingrowth.
The patient presented at our institution with headache and blurred vision three weeks after a right microkeratome-assisted LASIK procedure. On examination, the visual acuity was hand movements and the intraocular pressure (IOP) was 45 mmHg with fluid in the flap interface, a fixed pupil in moderate mydriasis, iris transillumination and cells in the anterior chamber. A Baerveldt tube implant was necessary to control the IOP. After three months, the corrected visual acuity was 20/40 with normal IOP and an early cataract.
To our knowledge this is the first report of a case of combined Urrets-Zavalia syndrome and interface fluid syndrome after LASIK. We speculate that steroid induced ocular hypertension was the primary cause.
我们描述了一例41岁男性患者，其接受准分子原位角膜磨镶术（LASIK）后并发乌雷茨 - 扎瓦利亚综合征，伴有界面液体积聚综合征和上皮内生。
该患者在接受右侧微型角膜刀辅助LASIK手术后三周，因头痛和视力模糊前来我院就诊。检查发现，视力为手动，眼压（IOP）为45 mmHg，瓣下界面有液体，瞳孔固定于中度散大状态，虹膜透照，前房有细胞。需要植入Baerveldt管来控制眼压。三个月后，矫正视力为20/40，眼压正常，但出现早期白内障。
据我们所知，这是首例LASIK术后并发乌雷茨 - 扎瓦利亚综合征和界面液体积聚综合征的病例报告。我们推测类固醇诱导的高眼压是主要原因。
