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Abstract #22748 Published in IGR 11-1
Diagnosis of steroid-induced elevated intraocular pressure and associated lamellar keratitis after laser in situ keratomileusis using optical coherence tomography
Levinger E; Slomovic A; Bahar I; Slomovic ARJournal of Cataract and Refractive Surgery 2009; 35: 386-388
A 52-year-old man had laser in situ keratomileusis (LASIK) for treatment of a post-keratoplasty refractive error. At the 6-week postoperative visit, haziness was noted in the donor cornea and Snellen visual acuity had decreased to 20/400. Goldmann applanation tonometry revealed an intraocular pressure (IOP) of 2 mmHg at the center of the cornea but an elevated IOP at the periphery. Visante optical coherence tomography (OCT) and corneal topography were performed, and steroid-induced lamellar keratitis (SILK) was diagnosed. Topical antiglaucoma medications were started, and steroid treatment was switched to fluorometholone. At the last follow-up visit, 2 weeks after treatment was started, the visual acuity was 20/60 and the IOP was controlled at 18 mmHg centrally and at the periphery. The use of Visante OCT and corneal topography were helpful in diagnosing SILK and monitoring its resolution.
Dr. E. Levinger, From the Ophthalmology Department, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
Classification:
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)
8.4 Refractive surgical procedures (Part of: 8 Refractive errors in relation to glaucoma)
6.9.2.1 Anterior (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.2 Optical coherence tomography)
