Optometry and vision science : official publication of the American Academy of Optometry · 2016
Pharmacologic Management of Pressure-Induced Stromal Keratopathy after LASIK.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Unlu Metin, Hondur Ahmet M, Korkmaz Safak, Kumova Deniz, Yuksel Erdem
Аннотация
PURPOSE: To emphasize the importance of anticipation of pressure-induced stromal keratopathy (PISK) in eyes with a previous history of LASIK.
CASE REPORT: A 40-year-old man developed LASIK-related pressure-induced stromal keratopathy after uneventful phacoemulsification (Phaco) and intraocular lens (IOL) implantation in his left eye. With immediate discontinuation of the steroid drops and initiation of antiglaucoma medication, his visual acuity, interface edema, and haze improved rapidly. One year later, during Phaco with IOL implantation in his other eye, with anticipation of a similar LASIK-related pressure-induced stromal keratopathy, a very brief course of soft steroid therapy was given together with antiglaucoma medication. Intraocular pressure elevation was avoided, and no interface edema or haze was observed.
CONCLUSIONS: This case illustrates that the risk for LASIK-related pressure-induced stromal keratopathy may be reduced with appropriate precautions.
CASE REPORT: A 40-year-old man developed LASIK-related pressure-induced stromal keratopathy after uneventful phacoemulsification (Phaco) and intraocular lens (IOL) implantation in his left eye. With immediate discontinuation of the steroid drops and initiation of antiglaucoma medication, his visual acuity, interface edema, and haze improved rapidly. One year later, during Phaco with IOL implantation in his other eye, with anticipation of a similar LASIK-related pressure-induced stromal keratopathy, a very brief course of soft steroid therapy was given together with antiglaucoma medication. Intraocular pressure elevation was avoided, and no interface edema or haze was observed.
CONCLUSIONS: This case illustrates that the risk for LASIK-related pressure-induced stromal keratopathy may be reduced with appropriate precautions.
Предметные рубрики MeSH
AcetazolamideAdultAnti-Inflammatory Agents, Non-SteroidalAntihypertensive AgentsBrimonidine Tartrate, Timolol Maleate Drug CombinationCorneal EdemaCorneal StromaDiureticsHumansIntraocular PressureKeratomileusis, Laser In SituLens Implantation, IntraocularMaleOcular HypertensionPhacoemulsificationPostoperative ComplicationsVisual Acuity