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Urrets-Zavalia syndrome with interface fluid syndrome following laser in situ keratomileusis.

ABSTRACT: Purpose:We describe the case of a 41-year-old male that underwent laser in situ keratomileusis (LASIK) complicated by Urrets-Zavalia syndrome with interface fluid syndrome and epithelial ingrowth. Observation:The patient presented at our institution with headache and blurred vision three weeks after a right microkeratome-assisted LASIK procedure. On examination, the visual acuity was hand movements and the intraocular pressure (IOP) was 45?mmHg with fluid in the flap interface, a fixed pupil in moderate mydriasis, iris transillumination and cells in the anterior chamber. A Baerveldt tube implant was necessary to control the IOP. After three months, the corrected visual acuity was 20/40 with normal IOP and an early cataract. Conclusion and importance:To our knowledge this is the first report of a case of combined Urrets-Zavalia syndrome and interface fluid syndrome after LASIK. We speculate that steroid induced ocular hypertension was the primary cause.

SUBMITTER: Vasquez-Perez A 

PROVIDER: S-EPMC6305690 | biostudies-other | 2019 Mar

REPOSITORIES: biostudies-other

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Urrets-Zavalia syndrome with interface fluid syndrome following laser in situ keratomileusis.

Vasquez-Perez Alfonso A   Aiello Francesco F   Muthusamy Kirithika K   Tuft Stephen S  

American journal of ophthalmology case reports 20181218

<h4>Purpose</h4>We describe the case of a 41-year-old male that underwent laser in situ keratomileusis (LASIK) complicated by Urrets-Zavalia syndrome with interface fluid syndrome and epithelial ingrowth.<h4>Observation</h4>The patient presented at our institution with headache and blurred vision three weeks after a right microkeratome-assisted LASIK procedure. On examination, the visual acuity was hand movements and the intraocular pressure (IOP) was 45 mmHg with fluid in the flap interface, a  ...[more]