Progression to end-stage glaucoma after laser in situ keratomileusis

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...

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Bibliographic Details
Published in:	Journal of cataract and refractive surgery Vol. 28; no. 2; p. 356
Main Authors:	Shaikh, Naazli M, Shaikh, Saad, Singh, Kuldev, Manche, Edward
Format:	Journal Article
Language:	English
Published:	United States 01-02-2002
Subjects:	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
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Summary:	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.
ISSN:	0886-3350
DOI:	10.1016/S0886-3350(01)01065-3