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Interface Fluid Syndrome in Routine Cataract Surgery 10 Years After Laser In Situ Keratomileusis

Ortega-Usobiaga, Julio MD, PhD; Martin-Reyes, Clara MD; Llovet-Osuna, Fernando MD, PhD; Damas-Mateache, Begoña MD; Baviera-Sabater, Julio MD

doi: 10.1097/ICO.0b013e3182254020
Case Report

Purpose: Interface fluid syndrome is an unusual complication after laser in situ keratomileusis (LASIK). We present a case of interface fluid syndrome after cataract surgery in a patient who had previous LASIK surgery.

Methods: A 62-year-old man underwent routine cataract surgery on the left eye 10 years after LASIK on both eyes. The day after surgery, the intraocular pressure (IOP) was 21 mm Hg and a pocket of fluid was present in the interface LASIK wound. The patient was treated with 0.50% timolol eye drops twice daily.

Results: The problem resolved within 1.5 months. Two months later, the patient underwent routine cataract surgery of the right eye. The next day, the IOP was 11 mm Hg and LASIK interface fluid was present. The patient was treated with 0.5% timolol eye drops twice daily. Two months after the surgery, the problem had completely resolved.

Conclusions: Ocular hypertension and traumatic endothelial cell damage could have been the causes of the syndrome. Although the IOP was not very high, previous LASIK could have led us to underestimate the IOP.

Clínica Baviera, Instituto Oftalmológico Europeo, Madrid, Spain.

The authors state that they have no financial or conflicts of interest to disclose.

Reprints: Clara Martin-Reyes, Paseo de la Castellana, 20, 28046 Madrid, Spain (e-mail: claramartinreyes@yahoo.es).

Received March 23, 2011

Accepted May 17, 2011

© 2012 Lippincott Williams & Wilkins, Inc.