A 33-year-old man who underwent uneventful laser in situ keratomileusis (LASIK) 
developed pressure-induced stromal edema resulting in an interface haze in both 
eyes and a pocket of fluid under the flap of the right eye 10 days after 
surgery, while receiving topical fluorometholone. Intraocular pressure by 
applanation tonometry was 16 mm Hg in his right eye (erroneous result due to the 
fluid in the interface) and 34 mm Hg in his left eye. After discontinuation of 
steroids and addition of ocular hypotensive medication, interface fluid 
collection disappeared in his right eye. Visual acuity improved and haze 
diminished in both eyes. This case illustrates that in the same patient a 
post-LASIK edema induced syndrome may be present with or without fluid in the 
interface, suggesting that both clinical pictures could be manifestations of a 
broad spectrum of the same condition. We suggest a new name for this 
non-inflammatory disorder: post-LASIK edema-induced keratopathy (PLEK).