Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Παρασκευή 13 Οκτωβρίου 2017

Post laser-assisted in situ keratomileusis keratomycotic malignant glaucoma

We report a case of a 24-year-old male patient with post-laser assisted in situ keratomileusis (LASIK) culture-proven mycotic keratitis who developed pupillary block glaucoma on day 19 of medical management. The case was initially managed with multiple Nd-Yag peripheral iridotomy along with systemic and topical antiglaucoma medications. However, an emergency therapeutic penetrating keratoplasty (TPK) with lens extraction was done in view of persistently raised intraocular pressure (IOP) and seclusio pupillae. On postoperative day 1, IOP was 10 mm Hg with graft clarity 2 plus and deep anterior chamber with no evidence of residual infection or recurrence. Pupillary block glaucoma can occur in cases of post-LASIK mycotic keratitis, which may necessitate emergency TPK.



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