SILK?steroidinduzierte lamell�re Keratopathie

Abstract

1) It is essential to measure IOP in the early postoperative phase after LASIK, especially in cases of corneal haze. 2) After corneal refractive surgery with high corneal ablation, IOP data in the upper range has to be interpreted as pathological. 3) Steroid-induced lamellar keratopathy is postulated as being a separate entity. 4) In cases of stromal infiltration after LASIK and increased IOP, local steroids have to be reduced immediately.

Diagnosis of steroid-induced elevated intraocular pressure and associated lamellar keratitis after laser in situ keratomileusis using optical coherence tomography

“…2 Such an IOP rise may produce a clinical picture similar to that of diffuse lamellar keratitis (DLK), which is treated with hourly topical steroids. [3][4][5][6][7][8][9] In steroid-induced lamellar keratitis (SILK), a fluid pocket develops between the LASIK flap and the corneal stroma, resulting in a falsely low pressure reading. This gives the treating ophthalmologist a false sense of security in prescribing frequent topical steroids.…”