Interface Fluid Syndrome

A patient with a past ocular history of LASIK underwent ACIOL removal and cataract surgery. After surgery the patient was noted to have persistent corneal edema with LASIK flap haze. Anterior segment OCT was performed which showed fluid in the LASIK interface, consistent with interface fluid syndrome. The patient was treated intraocular pressure lowering medications and tapered off of topical steroid drops with persistent interface fluid. At this time, the etiology of the interface fluid syndrome was thought to be corneal endothelial dysfunction. The patient underwent Descemet’s membrane endothelial keratoplasty (DMEK). Subsequent anterior segment OCTs showed resolution of fluid at the LASIK interface. The patient had improvement in visual acuity to 20/25 at the post-operative month one visit.

Presentation Date: 02/10/2022

Issue Date: 03/04/2022