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Abstract #19241 Published in IGR 9-2
Early transient visual acuity loss after LASIK due to steroid-induced elevation of intraocular pressure
Frucht-Pery J; Landau D; Raiskup F; Orucov F; Strassman E; Blumenthal EZ; Solomon AJournal of Refractive Surgery 2007; 23: 244-251
PURPOSE: To report the clinical course of early transient reduction of uncorrected visual acuity (UCVA) after LASIK surgery resulting from steroid-induced elevation of intraocular pressure (IOP). METHODS: Twenty-nine eyes of 15 patients who received topical corticosteroids after uneventful myopic LASIK surgery and had a decrease in UCVA within the first 3 weeks were evaluated retrospectively. RESULTS: Intraocular pressure increased by 4 to 30 mmHg from preoperative to postoperative days 4 to 20. Twenty-seven of 29 eyes had a decrease in UCVA and/or best spectacle-corrected visual acuity (BSCVA). All eyes, except one, had edema without evidence of inflammation in the interface or the remainder of the cornea. Discontinuation of topical corticosteroids and application of anti-glaucoma medications resulted in a decrease of IOP to normal levels, reduction or disappearance of the edema, and recovery of BSCVA. CONCLUSIONS: Early onset steroid-induced elevation of IOP after LASIK may cause corneal, edema and a sudden decrease in UCVA. Rapid diagnosis and treatment can control IOP and recover the visual lose.
Dr. A. Solomon, Dept. of Ophthalmology, Hadassah University Hospital, POB 12000, Jerusalem, Israel. avisol@md.huji.ac.il
Classification:
8.4 Refractive surgical procedures (Part of: 8 Refractive errors in relation to glaucoma)
9.4.1 Steroid-induced glaucoma (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
