Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients

Amr A Gab-Alla Ophthalmology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Purpose: To determine the incidence of interface fluid syndrome (IFS) secondary to steroid-induced elevation of intraocular pressure (IOP) following laser in situ keratomileusis (LASIK) in myopic E...

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Autor principal:	Gab-Alla AA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	LASIK postoperative complication diffuse lamellar keratitis interface fluid myopia. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/754a42e3123944298fad258297d62e67
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spelling	oai:doaj.org-article:754a42e3123944298fad258297d62e672021-12-02T08:48:57ZIncidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients1177-5483https://doaj.org/article/754a42e3123944298fad258297d62e672017-04-01T00:00:00Zhttps://www.dovepress.com/incidence-of-interface-fluid-syndrome-after-laser-in-situ-keratomileus-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Amr A Gab-Alla Ophthalmology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Purpose: To determine the incidence of interface fluid syndrome (IFS) secondary to steroid-induced elevation of intraocular pressure (IOP) following laser in situ keratomileusis (LASIK) in myopic Egyptian patients.Methods: This retrospective case series study was conducted at El-Gowhara Private Eye Center. The medical records of 1,807 patients (3,489 eyes), who underwent LASIK to correct myopia from April 2012 to December 2015 were included. The patients were operated on and reviewed by one surgeon (AAG) for IFS after LASIK associated with elevation of IOP (as compared to preoperative values).Results: This paper reports the incidence of 2.9% (54 patients) (102 eyes) of IFS induced by increased IOP after LASIK in Egyptian patients. The medical records of 1,807 patients (3,489 eyes) with mean age ± standard deviation (SD) 26.4±2.7 years, who presented with mean myopia ± SD -4.50±1.3 D, mean astigmatism ± SD -1.43±0.8, mean IOP ± SD 15.2±1.2 mmHg, and mean central corneal thickness ± SD 549±25.6 µm, were included. The preoperative anterior and posterior segments, corneal topography, and Schirmer’s test were unremarkable.Conclusion: Limiting topical steroids and routinely measuring the IOP post-LASIK are necessary steps to prevent IFS, especially in case of myopia. A high index of suspicion is required to make a diagnosis. High-resolution optical coherence tomography is helpful to confirm the diagnosis. Keywords: LASIK, postoperative complication, diffuse lamellar keratitis, interface fluid, myopiaGab-Alla AADove Medical PressarticleLASIKpostoperative complicationdiffuse lamellar keratitisinterface fluidmyopia.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 613-618 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	LASIK postoperative complication diffuse lamellar keratitis interface fluid myopia. Ophthalmology RE1-994
spellingShingle	LASIK postoperative complication diffuse lamellar keratitis interface fluid myopia. Ophthalmology RE1-994 Gab-Alla AA Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients
description	Amr A Gab-Alla Ophthalmology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt Purpose: To determine the incidence of interface fluid syndrome (IFS) secondary to steroid-induced elevation of intraocular pressure (IOP) following laser in situ keratomileusis (LASIK) in myopic Egyptian patients.Methods: This retrospective case series study was conducted at El-Gowhara Private Eye Center. The medical records of 1,807 patients (3,489 eyes), who underwent LASIK to correct myopia from April 2012 to December 2015 were included. The patients were operated on and reviewed by one surgeon (AAG) for IFS after LASIK associated with elevation of IOP (as compared to preoperative values).Results: This paper reports the incidence of 2.9% (54 patients) (102 eyes) of IFS induced by increased IOP after LASIK in Egyptian patients. The medical records of 1,807 patients (3,489 eyes) with mean age ± standard deviation (SD) 26.4±2.7 years, who presented with mean myopia ± SD -4.50±1.3 D, mean astigmatism ± SD -1.43±0.8, mean IOP ± SD 15.2±1.2 mmHg, and mean central corneal thickness ± SD 549±25.6 µm, were included. The preoperative anterior and posterior segments, corneal topography, and Schirmer’s test were unremarkable.Conclusion: Limiting topical steroids and routinely measuring the IOP post-LASIK are necessary steps to prevent IFS, especially in case of myopia. A high index of suspicion is required to make a diagnosis. High-resolution optical coherence tomography is helpful to confirm the diagnosis. Keywords: LASIK, postoperative complication, diffuse lamellar keratitis, interface fluid, myopia
format	article
author	Gab-Alla AA
author_facet	Gab-Alla AA
author_sort	Gab-Alla AA
title	Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients
title_short	Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients
title_full	Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients
title_fullStr	Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients
title_full_unstemmed	Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients
title_sort	incidence of interface fluid syndrome after laser in situ keratomileusis in egyptian patients
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/754a42e3123944298fad258297d62e67
work_keys_str_mv	AT gaballaaa incidenceofinterfacefluidsyndromeafterlaserinsitukeratomileusisinegyptianpatients
_version_	1718398369541390336

Incidence of interface fluid syndrome after laser in situ keratomileusis in Egyptian patients

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