Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation.

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.

SUBMITTER: Perez CI 

PROVIDER: S-EPMC6543013 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature