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Learning from errors
CASE REPORT
Post laser-assisted in situ keratomileusis keratomycotic malignant glaucoma
  1. Pranita Sahay,
  2. Prafulla Kumar Maharana,
  3. Namrata Sharma,
  4. Jeewan S Titiyal
  1. Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Prafulla Kumar Maharana, drpraful13{at}gmail.com

Summary

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.

  • eye
  • anterior chamber
  • glaucoma
  • iris

https://doi.org/10.1136/bcr-2017-222525

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    Footnotes

    • Contributors PS has contributed to the manuscript preparation and data retrieval. NS has contributed in editing the manuscript. JST has contributed in final editing of the pictures as well as the manuscript. PKM is responsible for the concept, final editing of manuscript and photographs of the case.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.