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Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation.
- Author(s): Perez, Claudio I;
- Han, Ying;
- Rose-Nussbaumer, Jennifer;
- Ou, Yvonne;
- Hsia, Yen C
- et al.
Published Web Locationhttps://doi.org/10.1016/j.ajoc.2019.100469
PurposeTo report two cases of neurotrophic keratitis (NK) after micropulse transscleral cyclophotocoagulation (MP-TCP).
ObservationsTwo 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 importanceNK 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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