brimonidine-tartrate--timolol-maleate-drug-combination and Corneal-Edema

To emphasize the importance of anticipation of pressure-induced stromal keratopathy (PISK) in eyes with a previous history of LASIK.. A 40-year-old man developed LASIK-related pressure-induced stromal keratopathy after uneventful phacoemulsification (Phaco) and intraocular lens (IOL) implantation in his left eye. With immediate discontinuation of the steroid drops and initiation of antiglaucoma medication, his visual acuity, interface edema, and haze improved rapidly. One year later, during Phaco with IOL implantation in his other eye, with anticipation of a similar LASIK-related pressure-induced stromal keratopathy, a very brief course of soft steroid therapy was given together with antiglaucoma medication. Intraocular pressure elevation was avoided, and no interface edema or haze was observed.. This case illustrates that the risk for LASIK-related pressure-induced stromal keratopathy may be reduced with appropriate precautions.

Topics: Acetazolamide; Adult; Anti-Inflammatory Agents, Non-Steroidal; Antihypertensive Agents; Brimonidine Tartrate, Timolol Maleate Drug Combination; Corneal Edema; Corneal Stroma; Diuretics; Humans; Intraocular Pressure; Keratomileusis, Laser In Situ; Lens Implantation, Intraocular; Male; Ocular Hypertension; Phacoemulsification; Postoperative Complications; Visual Acuity