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Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

Authors :
Ying Han
Claudio I. Perez
Yen C. Hsia
Yvonne Ou
Jennifer Rose-Nussbaumer
Source :
American Journal of Ophthalmology Case Reports, Vol 15, Iss, Pp-(2019), American Journal of Ophthalmology Case Reports
Publication Year :
2019
Publisher :
eScholarship, University of California, 2019.

Abstract

Purpose: To report two cases of neurotrophic keratitis (NK) after micropulse transscleral cyclophotocoagulation (MP-TCP). Observations: Two patients with predisposing factors for decreased corneal sensation developed NK 1 month after MP-TCP. Both patients did not heal with initial treatment with topical antibiotic and preservative free artificial tears. One patient required use of a bandage contact lens and the other patient required tarsorrhaphy. Both eyes experienced recurrence of NK. Conclusions and importance: NK can be triggered after MP-TCP in patients with underlying predisposing factors for decreased corneal sensation. This uncommon but vision-threatening complication should be discussed preoperatively with high-risk patients as a possible adverse event after MP-TCP and followed closely postoperatively. Keywords: Glaucoma, Lasers solid-state, Micropulse transscleral cyclophotocoagulation, Neurotrophic keratitis

Details

Database :
OpenAIRE
Journal :
American Journal of Ophthalmology Case Reports, Vol 15, Iss, Pp-(2019), American Journal of Ophthalmology Case Reports
Accession number :
edsair.doi.dedup.....85f1080761f9af5575e72dccf3362d5b