J Korean Ophthalmol Soc > Volume 55(1); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(1):129-132.
DOI: https://doi.org/10.3341/jkos.2014.55.1.129    Published online January 15, 2014.
Delayed-Onset Interface Fluid Syndrome after LASIK Surgery in Traumatic Hyphema.
Hyeong Gi Jung, Jong Rak Lee, Sang Un Lee, Yeon Deok Kim
1HanGil Eye Hospital, Incheon, Korea.
2Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
3Kimkisu Eye Clinic, Jeju, Korea. oijee@hanmail.net
외상성 전방출혈 후 발생한 지연성 절편-기질사이 액체 증후군
HanGil Eye Hospital1, Incheon, Korea
Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine2, Seoul, Korea
Kimkisu Eye Clinic3, Jeju, Korea
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 keratomileusis (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 ophthalmoscope/optical coherence tomography (SD-SLO/OCT) images showed a pocket of fluid between the LASIK flap and the underlying 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.
Key Words: Delayed-onset interface fluid syndrome;Interface fluid syndrome;LASIK

Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2021 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next