Late Onset Decreased Vision in a Steroid Responder After LASIK Associated With Interface Fluid

Russell, Gregg E; Jafri, Batool; Lichter, Henia; Waring, George O.

doi:10.3928/1081-597x-20040101-21

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…LASIK flap IFS was first described by Lyle and Jin. 14 Although a rise in IOP may be the main mechanism, [4][5][6][7][8][9] IFS may occur in eyes with corneal endothelial cell failure without high IOP. 10,11 Luceri et al 11 reported a case with IFS stage 3 after phacoemulsification in a post-LASIK eye with preexisting Fuchs endothelial dystrophy that was reversed by DMEK, and Moura-Coelho et al 10 reported a case of DMEK for the management of post-LASIK IFS secondary to a failed Descemet stripping automated endothelial keratoplasty graft.…”

Section: Discussionmentioning

confidence: 99%

“…Interface fluid syndrome (IFS) 3 is a condition occurring in patients after LASIK, in which retention of fluid in the LASIK flap interface occurs. The proposed mechanisms are the increase of intraocular pressure (IOP) [4][5][6][7][8][9] and corneal endothelial cell failure without high IOP. 10,11 DMEK has been reported as a surgical treatment in patients with IFS to address endothelial failure, 10,11 and IFS has been reported after an early failed Descemet stripping automated endothelial keratoplasty graft 10 ; however, to the best of our knowledge, our case series is the first reporting IFS after DMEK.…”

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confidence: 99%

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Interface Fluid Syndrome After Descemet Membrane Endothelial Keratoplasty in Patients With History of LASIK

Izquierdo¹,

Ben-Shaul

Larco³

et al. 2023

Cornea

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The aim of this study was to evaluate the visual, pachymetric, tomographic, and biomicroscopic findings in a series of cases with laser in situ keratomileusis (LASIK) flap interface fluid syndrome (IFS) after Descemet membrane endothelial keratoplasty (DMEK).Methods: Six cases were included in this study; all patients had a history of LASIK and underwent DMEK for the treatment of bullous keratopathy. After uneventful surgery, all patients presented with corneal edema and IFS under the LASIK flap, which was demonstrated with anterior segment optical coherence tomography (AS-OCT). Visual acuity, clinical findings, pachymetry, endothelial cell count, and AS-OCT were documented during the management of these cases.Results: IFS appears 2.33 days (61.03) after DMEK. One case improved with conservative treatment. In 5 cases, the LASIK flap was lifted, the fluid was drained, and the flap was replaced. The mean best-corrected visual acuity after fluid drainage was 0.44 logMAR (range 0.18-1.0) and mean central corneal thickness was 538 mm 6 160. Total resolution of the IFS was achieved at 14.5 days (range 4-30) after DMEK. AS-OCT showed resolution of the flap interface in 5 of 6 cases, while 1 patient required second DMEK due to reaccumulation of the interface fluid.Conclusions: IFS can occur after DMEK in patients with previous LASIK. AS-OCT is a valuable tool for monitoring these cases preoperatively and postoperatively. Early surgical management is often needed to achieve resolution.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Interface Fluid Syndrome After Descemet Membrane Endothelial Keratoplasty in Patients With History of LASIK

Izquierdo¹,

Ben-Shaul

Larco³

et al. 2023

Cornea

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“…As a result, a number of early case reports before the term "syndrome" was used were inadvertently omitted. [1][2][3][4][5][6][7][8][9][10] The omitted articles included the original description of the pathophysiology of the syndrome and the first published case series. 1,6 The list of missed references is presented below.…”

mentioning

confidence: 99%

“…1,6 The list of missed references is presented below. [1][2][3][4][5][6][7][8][9][10] This omission did not affect the conclusions, but future researchers should know that the literature referenced in the original paper was not a comprehensive review of prior publications. 11…”

mentioning

confidence: 99%

Erratum to: Interface fluid syndrome after LASIK surgery: retrospective pooled analysis and systematic review

2024

J Cataract Refract Surg

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Interface fluid syndrome in laser in situ keratomileusis after complicated trabeculectomy

Kang

Dawson

Hopp

et al. 2006

Journal of Cataract and Refractive Surgery

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A 69-year-old man developed stromal edema and a pocket of fluid in the laser in situ keratomileusis (LASIK) interface wound in the left eye after acute endothelial cell loss from complicated trabeculectomy. He eventually required penetrating keratoplasty along with cataract surgery. Histologic examination of the corneal button showed an edematous 720 microm central residual stromal bed, a 54 microm empty space at the level of the central interface wound, and a 154 microm LASIK flap. The endothelial cell count was 0 to 2 cells per high-power field, corresponding to a cell density of 450 to 500 cells/mm(2). Four years after LASIK, the central interface wound was susceptible to forming a pocket of serous fluid after the corneal endothelial function was compromised.

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Late Onset Decreased Vision in a Steroid Responder After LASIK Associated With Interface Fluid

Cited by 9 publications

References 4 publications

Interface Fluid Syndrome After Descemet Membrane Endothelial Keratoplasty in Patients With History of LASIK

Interface Fluid Syndrome After Descemet Membrane Endothelial Keratoplasty in Patients With History of LASIK

Erratum to: Interface fluid syndrome after LASIK surgery: retrospective pooled analysis and systematic review

Interface fluid syndrome in laser in situ keratomileusis after complicated trabeculectomy

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