
This report concerns the case of a 28-year-old female patient who was treated with topical steroids for 2 years following complicated hyperopic LASIK surgery with a re-treatment including a re-lift of the flap. A steroid-induced rise in the intraocular pressure (IOP) was subsequently observed on the treated eye, together with a glaucomatous subtotal destruction of the optic nerve, resulting in a residual vision of 1/15. An erroneously low IOP measurement, which was probably the reason for the delay in detecting steroid-induced glaucoma, has been reported in several cases concerning LASIK patients. The reason for the unusually severe course in the case in question can only be presumed, namely a possible accumulation of fluid at the interface or altered biomechanics following hyperopic LASIK surgery. The need for a thorough postoperative examination following refractive surgery must be emphasized. This case shows a cascade of complications following hyperopic LASIK surgery resulting in the functional blindness of one eye.
Adult, Postoperative Care, Reoperation, Ophthalmoscopes, Keratomileusis, Laser In Situ, Anti-Inflammatory Agents, Gonioscopy, Corneal Topography, Glaucoma, Optic Nerve, Long-Term Care, Dexamethasone, Hyperopia, Postoperative Complications, Humans, Female, Diagnostic Errors, Ophthalmic Solutions, Intraocular Pressure, Tomography, Optical Coherence
Adult, Postoperative Care, Reoperation, Ophthalmoscopes, Keratomileusis, Laser In Situ, Anti-Inflammatory Agents, Gonioscopy, Corneal Topography, Glaucoma, Optic Nerve, Long-Term Care, Dexamethasone, Hyperopia, Postoperative Complications, Humans, Female, Diagnostic Errors, Ophthalmic Solutions, Intraocular Pressure, Tomography, Optical Coherence
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