Transient keratectasia caused by intraocular pressure elevation after laser in situ keratomileusis

Atsuko Toshino; Toshihiko Uno; Yuichi Ohashi; Naoyuki Maeda; Tetsuro Oshika

doi:10.1016/j.jcrs.2004.08.046

Transient keratectasia caused by intraocular pressure elevation after laser in situ keratomileusis

J Cataract Refract Surg. 2005 Jan;31(1):202-4. doi: 10.1016/j.jcrs.2004.08.046.

Authors

Atsuko Toshino¹, Toshihiko Uno, Yuichi Ohashi, Naoyuki Maeda, Tetsuro Oshika

Affiliation

¹ Department of Ophthalmology, Ehime University School of Medicine, Ehime, Japan.

PMID: 15721714
DOI: 10.1016/j.jcrs.2004.08.046

Abstract

Transient keratectasia developed in association with a marked intraocular pressure (IOP) elevation in a 26-year-old man who had laser in situ keratomileusis (LASIK) for myopia of -9.0 diopters. The keratectasia subsided promptly after the IOP was normalized by an intravenous administration of mannitol. Keratectasia did not recur. Intraocular pressure elevation can cause keratectasia in a structurally compromised cornea after LASIK.

Publication types

Case Reports

MeSH terms

Adult
Astigmatism / surgery
Cornea / pathology*
Corneal Diseases / etiology*
Corneal Topography
Dilatation, Pathologic
Diuretics, Osmotic / therapeutic use
Humans
Intraocular Pressure*
Keratomileusis, Laser In Situ*
Male
Mannitol / therapeutic use
Myopia / surgery
Ocular Hypertension / complications*
Ocular Hypertension / drug therapy
Postoperative Complications*
Visual Acuity

Substances

Diuretics, Osmotic
Mannitol