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BMC Ophthalmology

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Open Access 01-12-2017 | Case report

Corneal densitometry changes in a patient with interface fluid syndrome after small incision lenticule extraction

Authors: Ke Zheng, Tian Han, Meiyan Li, Yinan Han, Ye Xu, Rupal Shah, Xingtao Zhou

Published in: BMC Ophthalmology | Issue 1/2017

Abstract

Background

To report a case of interface fluid syndrome (IFS) following small incision lenticule extraction (SMILE) evaluated with corneal densitometry and optical coherence tomography (OCT).

Case presentation

An 18-year-old man reported sudden vision loss 24 days after SMILE procedure. Intraocular pressure (IOP) was 36.3 mmHg (OD) and 36.7 mmHg (OS) by noncontact tonometry. Moderate corneal edema, interface fluid pocket and haze were observed by OCT and confirmed by corneal densitometry values. Discontinuation of steroids and addition of hypotensive medication were offered immediately. The symptoms were cured after the medication. Changes of corneal densitometry were consistent with the clinical course of IFS.

Conclusion

This case illustrates that it is crucial to be aware that a history of SMILE can also cause IFS. Both OCT and corneal densitometry can serve as auxiliary means to evaluate the clinical course of IFS, and appropriate IOP management is an effective approach.

Dawson DG, Schmack I, Holley GP, Waring 3rd GO, Grossniklaus HE, Edelhauser HF. Interface fluid syndrome in human eye bank corneas after LASIK: causes and pathogenesis. Ophthalmology. 2007;114(10):1848–59.CrossRefPubMed

Lyle WA, Jin GJ. Interface fluid associated with diffuse lamellar keratitis and epithelial ingrowth after laser in situ keratomileusis. J Cataract Refract Surg. 1999;25(7):1009–12.CrossRefPubMed

Moya Calleja T, Iribarne Ferrer Y, Sanz Jorge A, Sedo FS. Steroid-induced interface fluid syndrome after LASIK. J Refract Surg. 2009;25(2):235–9.PubMed

Randleman JB, Lesser GR. Glaucomatous damage from pressure-induced stromal keratopathy after LASIK. J Refract Surg. 2012;28(6):378–9.CrossRefPubMedPubMedCentral

Hurmeric V, Wang J, Kymionis GD, Yoo SH. Persistent lamellar interface fluid with clear cornea after Descemet stripping automated endothelial keratoplasty. Cornea. 2011;30(12):1485–7.CrossRefPubMed

Han SB, Woo SJ, Hyon JY. Delayed-onset interface fluid syndrome after laser in situ keratomileusis secondary to combined cataract and vitreoretinal surgery. J Cataract Refract Surg. 2012;38(3):548–50.CrossRefPubMed

Ortega-Usobiaga J, Martin-Reyes C, Llovet-Osuna F, Damas-Mateache B, Baviera-Sabater J. Interface fluid syndrome in routine cataract surgery 10 years after laser in situ keratomileusis. Cornea. 2012;31(6):706–7.CrossRefPubMed

Dastjerdi MH, Sugar A. Corneal decompensation after laser in situ keratomileusis in fuchs’ endothelial dystrophy. Cornea. 2003;22(4):379–81.CrossRefPubMed

Kang SJ, Dawson DG, Hopp LM, Schmack I, Grossniklaus HE, Edelhauser HF. Interface fluid syndrome in laser in situ keratomileusis after complicated trabeculectomy. J Cataract Refract Surg. 2006;32(9):1560–2.CrossRefPubMed

10.

McLeod SD, Mather R, Hwang DG, Margolis TP. Uveitis-associated flap edema and lamellar interface fluid collection after LASIK. Am J Ophthalmol. 2005;139(6):1137–9.CrossRefPubMed

11.

Bansal AK, Murthy SI, Maaz SM, Sachdev MS. Shifting “Ectasia”: Interface Fluid Collection After Small Incision Lenticule Extraction (SMILE). J Refract Surg. 2016;32(11):773–5.CrossRefPubMed

12.

Savini G, Huang J, Lombardo M, Serrao S, Schiano-Lomoriello D, Venanzio S, Ducoli P. Objective Monitoring of Corneal Backward Light Scattering After Femtosecond Laser-assisted LASIK. J Refract Surg. 2016;32(1):20–5.CrossRefPubMed

13.

Greenstein SA, Fry KL, Bhatt J, Hersh PS. Natural history of corneal haze after collagen crosslinking for keratoconus and corneal ectasia: Scheimpflug and biomicroscopic analysis. J Cataract Refract Surg. 2010;36(12):2105–14.CrossRefPubMed

14.

Liu X, Ling S, Gao X, Xu C, Wang F. Pressure-induced stromal keratopathy as a result of ocular trauma after laser in situ keratomileusis. JAMA Ophthalmol. 2013;131(8):1070–2.CrossRefPubMed

15.

Najman-Vainer J, Smith RJ, Maloney RK. Interface fluid after LASIK: misleading tonometry can lead to end-stage glaucoma. J Cataract Refract Surg. 2000;26(4):471–2.CrossRefPubMed

Title: Corneal densitometry changes in a patient with interface fluid syndrome after small incision lenticule extraction
Authors: Ke Zheng
Tian Han
Meiyan Li
Yinan Han
Ye Xu
Rupal Shah
Xingtao Zhou
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Ophthalmology / Issue 1/2017
Electronic ISSN: 1471-2415
DOI: https://doi.org/10.1186/s12886-017-0428-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Corneal densitometry changes in a patient with interface fluid syndrome after small incision lenticule extraction

Abstract

Background

Case presentation

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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