Delayed-Onset Interface Fluid Syndrome after LASIK Surgery in Traumatic Hyphema

Hyeong Gi Jung; Jong Rak Lee; Sang Un Lee; Yeon Deok Kim

doi:10.3341/jkos.2014.55.1.129

Journal List > J Korean Ophthalmol Soc > v.55(1) > 1009772

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Jung, Lee, Lee, and Kim: Delayed-Onset Interface Fluid Syndrome after LASIK Surgery in Traumatic Hyphema

Original Article

J Korean Ophthalmol Soc 2014;55(1):129-132.

Published online: 7 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.1.129

Delayed-Onset Interface Fluid Syndrome after LASIK Surgery in Traumatic Hyphema

Hyeong Gi Jung, MD¹, Jong Rak Lee, MD², Sang Un Lee, MD¹, Yeon Deok Kim, MD³

¹HanGil Eye Hospital, Incheon, Korea

²Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea

³Kimkisu Eye Clinic, Jeju, Korea

Address reprint requests to Yeon Deok Kim, MD Kimkisu Eye Clinic #286 Jungang-ro, Jeju 690-826, Korea, Tel: 82-64-723-1516, Fax: 82-64-723-1517, E-mail: oijee@hanmail.net

Received 31 May 201324 July 2013 Accepted 1 December 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 50-year-old female was referred to our clinic with visual disturbance, hyphema and increased intraocular pressure (IOP) in her right eye 7 days after experiencing blunt trauma in that eye. She had undergone uncomplicated laser in situ kerato-mileusis (LASIK) on both eyes 10 years earlier. At initial examination, the best corrected visual acuity (BCVA) in her right eye was counting fingers at 2 feet with no correction. Central Goldmann applanation tonometry (GAT) showed an IOP of 7 mm Hg. Peripheral digital tonometry showed the IOPs in her right eye superiorly, nasally, temporally, and inferiorly were 36 mm Hg, 35 mm Hg, 34.5 mm Hg and 36.5 mm Hg, respectively. Slit-lamp examination showed diffuse epithelial and stromal edema and a blood clot 1 mm in height in the anterior chamber. Spectral domain scanning laser ophthalmo-scope/optical coherence tomography (SD-SLO/OCT) images showed a pocket of fluid between the LASIK flap and the un-derlying stroma. The patient was started on anti-inflammatory agent and IOP lowering agents. After 15 days of treatment, IOP measured with GAT was 10 mm Hg, slit-lamp examination showed that epithelial and stromal edema had disappeared, and OCT showed no fluid between the corneal flap and stroma.

Keywords: Delayed-onset interface fluid syndrome, Interface fluid syndrome, LASIK

References

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Figure 1.

Slit-lamp examination showing diffuse epithelial and stromal edema, and 1 mm height blood clot 1 mm height in the anterior chamber of the right eye.

Figure 2.

SD-SLO/OCT images of the cornea of the right eye with central edema and a fluid-filled pocket at the LASIK interface.

Figure 3.

OCT images of cornea after 9 days of treatment, showing a decrease in interface fluid.

Figure 4.

OCT images after 15 days of treatment, interface fluid is not observed.

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