Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

Claudio I Perez; Ying Han; Jennifer Rose-Nussbaumer; Yvonne Ou; Yen C Hsia

doi:10.1016/j.ajoc.2019.100469

Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

Am J Ophthalmol Case Rep. 2019 May 20:15:100469. doi: 10.1016/j.ajoc.2019.100469. eCollection 2019 Sep.

Authors

Claudio I Perez^{1

2}, Ying Han¹, Jennifer Rose-Nussbaumer^{1

3}, Yvonne Ou¹, Yen C Hsia¹

Affiliations

¹ Department of Ophthalmology, University of California, San Francisco, CA, USA.
² Fundación Oftalmológica los Andes, Universidad de los Andes, Santiago, Chile.
³ Francis I Proctor Foundation, University of California, San Francisco, CA, USA.

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.

Keywords: Glaucoma; Lasers solid-state; Micropulse transscleral cyclophotocoagulation; Neurotrophic keratitis.

Publication types

Case Reports

Grants and funding

P30 EY002162/EY/NEI NIH HHS/United States