Corneal edema and keratitis following selective laser trabeculoplasty

• Main Authors: Erica Tan Liu, Loren S. Seery, Analisa Arosemena, Tania Lamba, Craig J. Chaya
• Format: Article
• Language: English
• Published: Elsevier 2017-06-01
• Series: American Journal of Ophthalmology Case Reports
• Subjects: Selective laser trabeculoplasty; SLT; HSV keratitis; Herpes simplex keratitis
• Online Access: http://www.sciencedirect.com/science/article/pii/S2451993616301025

Purpose: To describe three cases of keratitis following Selective Laser Trabeculoplasty (SLT). Observations: Three females with a history of glaucoma presented with corneal edema, keratitis (endothelial, epithelial) and decreased visual acuity shortly after SLT. There was variable resolution of symptoms after starting treatment with oral antiherpetics and topical steroids. Conclusions and importance: With the increase in usage of SLT as a treatment for glaucoma and subsequent reports of keratitis, it is imperative for ophthalmic surgeons to be aware of herpes simplex as a possible risk factor. Prompt treatment with antivirals and steroids can potentially prevent scarring and permanent damage to the cornea.