PRESSURE INDUCED STROMAL KERATITIS (PISK) AND TRANSIENT MYOPIA FOLLOWING LASIK

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HASHEMIAN M.N.; MOGHIMI S.; RAHIMI F.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2004 | Volume:16 | Issue:3 Page(s): 79-97

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Title

PRESSURE INDUCED STROMAL KERATITIS (PISK) AND TRANSIENT MYOPIA FOLLOWING LASIK

Author(s)

HASHEMIAN M.N. | MOGHIMI S. | RAHIMI F. | Issue Writer Certificate

Keywords

MYOPIAQ3

LASIKQ3

IOPQ3

KERATITISQ3

Abstract

Purpose: To report a case of steroid induced ocular hypertension that caused KERATITIS and transient MYOPIA after laser in situ keratomileusis (LASIK). Methods: Uncomplicated bilateral LASIK was performed in a healthy 29 year old woman with myopic astigmatism. Her preoperative refractive error was -11.50 -1.25×45° and - 5.25 - 2.5×18° in the right and left eye respectively. The patient had no history of ocular disease. After the procedure, she used topical steroids frequently for 2 weeks when she reported worsening of visual acuity specially in the right eye. Her UCVA was 1/10 in the right eye and 8/10 in the left. IOP by applanation tonometry was 37 mmHg in the right eye and 27 mmHg in the left. Slit lamp examination revealed corneal haze at the interface. Retinoscopy was -7.50 - 2.25×10° in the right eye and -0.50 - 2.00×15° in the left. Results: The topical steroid was discontinued. The patient was started on combined topical timolol and systemic Acetazolamide to lower IOP. After 2 weeks corneal haze disappeared. Retinoscopy showed +0.50-1.00×178° and +1.00-1.25× 119° in the right and left eye respectively. IOP measured by applanation tonometry was 15mmHg in both eye, UCVA was 9/10 in both eye. Conclusion: Pressure induced stromal KERATITIS (PISK) has not been well recognized. Early detection of this complication of LASIK is very important because the condition may be misdiagnosed as DLK but unlike DLK it would be caused or worsened by frequent topical steroids. Treatment consists of normalizing IOP and discontinuation of topical steroid. Elevated IOP after LASIK may be associated with MYOPIA, prompt diagnosis and treatment would prevent glaucomatous optic neuropathy.

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APA: Copy

HASHEMIAN, M.N., MOGHIMI, S., & RAHIMI, F.. (2004). PRESSURE INDUCED STROMAL KERATITIS (PISK) AND TRANSIENT MYOPIA FOLLOWING LASIK. JOURNAL OF CURRENT OPHTHALMOLOGY, 16(3), 79-97. SID. https://sid.ir/paper/53135/en

Vancouver: Copy

HASHEMIAN M.N., MOGHIMI S., RAHIMI F.. PRESSURE INDUCED STROMAL KERATITIS (PISK) AND TRANSIENT MYOPIA FOLLOWING LASIK. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2004;16(3):79-97. Available from: https://sid.ir/paper/53135/en

IEEE: Copy

M.N. HASHEMIAN, S. MOGHIMI, and F. RAHIMI, “PRESSURE INDUCED STROMAL KERATITIS (PISK) AND TRANSIENT MYOPIA FOLLOWING LASIK,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 16, no. 3, pp. 79–97, 2004, [Online]. Available: https://sid.ir/paper/53135/en

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