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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Detalles Bibliográficos
Autores principales: Perez, Claudio I., Han, Ying, Rose-Nussbaumer, Jennifer, Ou, Yvonne, Hsia, Yen C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543013/
https://www.ncbi.nlm.nih.gov/pubmed/31193794
http://dx.doi.org/10.1016/j.ajoc.2019.100469
Descripción
Sumario: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.

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