Wydanie 1/2008

Jaskra po zabiegu LASIK – opis przypadku

Glaucoma following LASIK Procedure – Case Report

Ewa Lange, Stanisława Gierek-Ciaciura, Ewa Mrukwa-Kominek, Ewa Mielniczuk

Samodzielny Publiczny Szpital Kliniczny Nr 5 Śląskiego Uniwersytetu Medycznego w Katowicach
Kierownik: prof. dr hab. n. med. Ariadna Gierek-Łapińska


Summary: To describe a case of unilateral glaucoma following bilateral LASIK surgery. Case report: 30 years old high myopic female without a history of ocular hypertension underwent bilateral uncomplicated LASIK surgery. Refractive error before surgery in right eye was: -10.5 Dsph -0.25 cx 450, in left eye -8.25 Dsph -0.5 cx 1800. BCVA in right and left eye before surgery was 1.0. Intraocular pressure (Pascal) – normal level before surgery: 13.0 mmHg (right eye) and 14.0 mmHg (left eye). Static perimetry (HAAG-STREIT) OCTOPUS 301 was without any glaucoma symptoms before LASIK. The postoperative period was complicated because of the IOP increase induced by topical steroids. Topical steroid therapy was discontinued after a total of 6 weeks. Ten months after LASIK the right eye gave symptoms of glaucoma. The IOP (41 mmHg) did not return to normal range after topical antiglaucoma therapy. Eleven months after LASIK patients right eye underwent trabeculectomy. There was no IOP elevation in the left eye. Conclusion: Steroids, typically used after refractive surgery can increase intraocular pressure in steroid responders. If the IOP is elevated after refractive procedure, corticosteroid drops should be discontinued immediately and patients need periodic IOP checking, static perimetry and visual acuity control.

Keywords: glaucoma, LASIK, intraocular pressure, steroid drops.


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