Progression to end-stage glaucoma after laser in situ keratomileusis

Naazli M Shaikh; Saad Shaikh; Kuldev Singh; Edward Manche

doi:10.1016/s0886-3350(01)01065-3

Progression to end-stage glaucoma after laser in situ keratomileusis

J Cataract Refract Surg. 2002 Feb;28(2):356-9. doi: 10.1016/s0886-3350(01)01065-3.

Authors

Naazli M Shaikh¹, Saad Shaikh, Kuldev Singh, Edward Manche

Affiliation

¹ Department of Ophthalmology, Stanford University School of Medicine, Stanford, California 94305, USA.

PMID: 11821221
DOI: 10.1016/s0886-3350(01)01065-3

Abstract

We describe 2 patients, one a glaucoma suspect because of family history and the other with juvenile glaucoma. Both patients developed complications after laser in situ keratomileusis that required frequent topical steroids, leading to steroid-induced glaucoma. In both cases, corneal edema from the acute rise in intraocular pressure (IOP) caused inaccurate IOP measurement by standard methods. The inability to recognize glaucoma early may have resulted in significant irreversible vision loss.

Publication types

Case Reports

MeSH terms

Adult
Corneal Edema / etiology
Disease Progression
Glaucoma / chemically induced*
Glaucoma / diagnosis
Glaucoma / surgery
Glucocorticoids / adverse effects*
Humans
Intraocular Pressure
Keratomileusis, Laser In Situ*
Male
Ocular Hypertension / complications
Postoperative Complications / drug therapy
Prednisolone / adverse effects*
Prednisolone / analogs & derivatives*
Tonometry, Ocular
Trabeculectomy
Visual Acuity
Visual Fields

Substances

Glucocorticoids
prednisolone acetate
Prednisolone