Posters

Interface fluid syndrome after Lasik correction of DSAEK-induced ametropia

Poster Details

First Author: R.Bellucci ITALY

Co Author(s):                     

Abstract Details

Purpose:

Descemet-stripping automated endothelial keratoplasty usually modifies the refraction of the operated eye. We report a case where Lasik performed to improve the unaided vision was followed by interface fluid syndrome that did not resolve after one year.

Setting:

Vista Vision Centre, Verona, Italy

Methods:

Case presentation:A 75 year old pseudophakic man with DSAEK in both eyes asked for visual improvement in his right eye. Refraction was  +1 sph -5 cyl @45°, corrected visual acuity was 0.4 LogMAR. Femto-Lasik was performed uneventfully in 02/2018.

Results:

One month after surgery evidence of interface fluid syndrome was discovered. An attempt to solve the problem by flap lifting gave no result. Steroid and anti-glaucoma eye drops were prescribed, but the syndrome did not resolve and a central bulla of interface fluid remained. Almost one year after surgery, penetrating keratoplasty is considered.

Conclusions:

Despite previous reports of success, Lasik may cause interface fluid syndrome in DSAEK eyes. Low endothelial cell count of any cause should be considered as a contra-indication for Lasik surgery.

Financial Disclosure:

None