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Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation.

Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation. American journal of ophthalmology case reports Perez, C. I., Han, Y., Rose-Nussbaumer, J., Ou, Y., Hsia, Y. C. 2019; 15: 100469

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.

View details for DOI 10.1016/j.ajoc.2019.100469

View details for PubMedID 31193794