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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.
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.

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