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Bilateral Iris Atrophy after the Femtosecond Assisted Laser In Situ Keratomileusis Surgery.

Olcay K, Cakir A, Sagdic SK, Duzgun E, Yildirim Y - Case Rep Ophthalmol Med (2015)

Bottom Line: She had mydriatic pupils with no direct light reflex.Conclusion.We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Gumussuyu Military Hospital, 34100 Besiktas, Istanbul, Turkey.

ABSTRACT
Purpose. To report an unknown complication of laser in situ keratomileusis (LASIK) surgery. Case Presentation. A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone and a transillumination defect was remarkable on the slit lamp examination. Conclusion. We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.

No MeSH data available.


Related in: MedlinePlus

Bilateral iris atrophy correlated with the ablation zone and middilated pupils (due to the probable ischemic damage of the iris sphincter muscle).
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fig1: Bilateral iris atrophy correlated with the ablation zone and middilated pupils (due to the probable ischemic damage of the iris sphincter muscle).

Mentions: A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. Preoperative medical records of the patient revealed −4.75 (−1.00 × 175) in the right eye and −4.50 (−0.50 × 180) in the left eye and otherwise a normal ophthalmological examination. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Visual fields were full to confrontation in both eyes. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone (Figure 1) and a transillumination defect was remarkable on the slit lamp examination (Figure 2). Funduscopy and intraocular pressures (IOP) were normal in both eyes.


Bilateral Iris Atrophy after the Femtosecond Assisted Laser In Situ Keratomileusis Surgery.

Olcay K, Cakir A, Sagdic SK, Duzgun E, Yildirim Y - Case Rep Ophthalmol Med (2015)

Bilateral iris atrophy correlated with the ablation zone and middilated pupils (due to the probable ischemic damage of the iris sphincter muscle).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4496649&req=5

fig1: Bilateral iris atrophy correlated with the ablation zone and middilated pupils (due to the probable ischemic damage of the iris sphincter muscle).
Mentions: A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. Preoperative medical records of the patient revealed −4.75 (−1.00 × 175) in the right eye and −4.50 (−0.50 × 180) in the left eye and otherwise a normal ophthalmological examination. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Visual fields were full to confrontation in both eyes. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone (Figure 1) and a transillumination defect was remarkable on the slit lamp examination (Figure 2). Funduscopy and intraocular pressures (IOP) were normal in both eyes.

Bottom Line: She had mydriatic pupils with no direct light reflex.Conclusion.We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Gumussuyu Military Hospital, 34100 Besiktas, Istanbul, Turkey.

ABSTRACT
Purpose. To report an unknown complication of laser in situ keratomileusis (LASIK) surgery. Case Presentation. A 28-year-old female presented with photophobia and glare to our eye service. She stated in her medical history that she had undergone femtosecond assisted LASIK surgery in both eyes 15 months ago and her symptoms started just after this surgery. On admission, her best-corrected visual acuity was 10/10 in both eyes. She had mydriatic pupils with no direct light reflex. Examination of the anterior segment revealed bilateral iris atrophy projecting within the LASIK ablation zone and a transillumination defect was remarkable on the slit lamp examination. Conclusion. We hypothesized that this condition may have been caused by the abnormally increased IOP that resulted in ischemia in the iris vascular plexus during the suction process of surgery.

No MeSH data available.


Related in: MedlinePlus