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Uveitis-associated flap edema and lamellar interface fluid collection after LASIK PDF Print E-mail

Am J Ophthalmol. 2005 Jun;139(6):1137-9.  

McLeod SD, Mather R, Hwang DG, Margolis TP.  Francis I. Proctor Foundation and the Department of Ophthalmology, University of California-San Francisco, 10 Kirkham Street, San Francisco, CA 94143, USA. smcleod@itsa.ucsf.edu  

PURPOSE: To report two cases of corneal pathology associated with anterior uveitis after laser in situ keratomileusis (LASIK).  

DESIGN: Observational case report.  

METHODS: A 47-year-old man and a 50-year-old woman who experienced vision loss and corneal changes associated with acute anterior uveitis after LASIK were examined.  

RESULTS: The 47-year-old man, who had undergone LASIK for low myopia developed an interlamellar fluid pocket at the level of the flap interface, whereas the 50-year-old woman, who underwent LASIK for hyperopia, developed marked flap edema without interface fluid collection.  

CONCLUSIONS: These two cases demonstrated acute corneal fluid accumulation associated with episodes of acute anterior uveitis in eyes that had undergone LASIK. Uveitis should be considered a risk factor for vision threatening corneal complications after LASIK.