Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

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 top...

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Bibliographic Details
Main Authors: Claudio I. Perez, Ying Han, Jennifer Rose-Nussbaumer, Yvonne Ou, Yen C. Hsia
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S245199361830224X
Description
Summary: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
ISSN:2451-9936