Interface Fluid Syndrome Following LASIK Surgery - A Retrospective Pooled Analysis and Systematic Review of the Literature.

Ravipati, Advaitaa; Pradeep, Tejus; Donaldson, Kendall E.

doi:10.1097/j.jcrs.0000000000001214

Cited by 5 publications

(1 citation statement)

References 20 publications

(63 reference statements)

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“…The development of diffuse corneal edema can, therefore, result in an accumulation of fluid in the interface. 12 However, the presence of this accumulated fluid may pose challenges for its resorption by the endothelial pump.…”

Section: Discussionmentioning

confidence: 99%

Recurrent unilateral corneal edema in a 54-year-old patient after endurance sports in low temperature

Schmid,

Butros

2024

JCRS Online Case Rep

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Introduction: Corneal edema in endurance sports at low temperatures is a rare occurrence, and few reports can be found in the literature. Patient and Clinical Findings: A case of unilateral corneal edema in a 54-year-old man with a history of laser in situ keratomileusis surgery, cataract surgery, and vitrectomy is presented. Recurrent episodes of corneal edema were observed during endurance cycling in temperatures below 10 °C, with complete recovery observed the next day without any treatment. Diagnosis, Interventions, and Outcomes: Pathophysiology and therapeutic strategies were discussed. Local administration of hyperosmolar saline lacked of any effect as did administration of acetazolamide. A protection of the affected eye by contact lens was not successful, but ski goggles could effectively prevent the corneal edema. Conclusions: Some single reports in the literature described roughly similar corneal findings under different conditions. A systematic evaluation of this case could reveal a fateful combination of cold temperature, physical activity, and susceptibility of the corneal endothelium. Protection from cold wind by ski goggles was found to be an effective practical approach.

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Section: Discussionmentioning

confidence: 99%

Recurrent unilateral corneal edema in a 54-year-old patient after endurance sports in low temperature

Schmid,

Butros

2024

JCRS Online Case Rep

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Delayed-onset pressure-induced interlamellar stromal keratitis (PISK) and interface epithelial ingrowth 10 years after laser-assisted in situ keratomileusis

Duarte

Guerrero-Becerril

Müller-Morales

et al. 2023

American Journal of Ophthalmology Case Reports

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An Enigmatic Fluid Accumulation Following Descemet Membrane Endothelial Keratoplasty After Prior Laser In Situ Keratomileusis

Özen,

Linke,

Spitzer

2024

Cornea Open

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Purpose: To report a case of interface fluid syndrome (IFS) following Descemet membrane endothelial keratoplasty (DMEK) 13 years after laser in situ keratomileusis (LASIK). Methods: A 79-year-old patient with bullous keratopathy underwent uneventful DMEK. Thirteen years prior, he had undergone LASIK. After DMEK, he developed an IFS, which was confirmed by a fluid accumulation in the flap interface, visible in the anterior segment optical coherence tomography (AS-OCT). In this case, IFS is presumed to have been triggered by the corticosteroid eye drops administered postoperatively. Measurements of the intraocular pressure (IOP) via applanation tonometry yielded erroneously low results. Results: The discontinuation of the corticosteroid eye drops, along with the initiation of IOP-lowering therapy, led to an improvement in fluid accumulation and a decrease in IOP. Regular ophthalmic examinations with a palpatory assessment of IOP and monitoring of fluid via AS-OCT are recommended. In this case, no more fluid could be detected in the flap interface after 14 months, and IOP was normal. Conclusions: IFS can occur many years after LASIK treatment. Corticosteroids should be discontinued, and IOP-lowering therapy should be initiated to prevent irreversible damage to the optic nerve. Applanation tonometry leads to inaccurately low IOP measurements; therefore, a palpatory assessment of IOP is recommended. AS-OCT is a crucial imaging modality that should be employed for monitoring.

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Interface Fluid Syndrome Following LASIK Surgery - A Retrospective Pooled Analysis and Systematic Review of the Literature.

Cited by 5 publications

References 20 publications

Recurrent unilateral corneal edema in a 54-year-old patient after endurance sports in low temperature

Recurrent unilateral corneal edema in a 54-year-old patient after endurance sports in low temperature

Delayed-onset pressure-induced interlamellar stromal keratitis (PISK) and interface epithelial ingrowth 10 years after laser-assisted in situ keratomileusis

An Enigmatic Fluid Accumulation Following Descemet Membrane Endothelial Keratoplasty After Prior Laser In Situ Keratomileusis

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