Inner retinal cystoid changes immediately following laser peripheral iridotomy

PURPOSE: To outline the patient course of a rare complication that occurred during routine laser peripheral iridotomy. OBSERVATION: A patient developed symptomatic foveal cystoid changes with a central scotoma immediately following laser peripheral iridotomy. Successful treatment included topical anti-inflammatory therapy with complete resolution of cystoid changes and the central scotoma. CONCLUSIONS AND IMPORTANCE: Laser peripheral iridotomy is a commonly performed procedure by comprehensive ophthalmologists and therefor it is important to document even the rarest side effects that can occur. Inner retinal changes can occur but overall, this patient did well with conservative therapy.