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NEUROTROPHIC KERATOPATHY AFTER RETINAL DETACHMENT SURGERY COMBINED WITH ENDOLASER PHOTOCOAGULATION
Rengin Aslıhan Kurt1,2, Baris Sonmez1, Ziya Kapran3
1Ophthalmology Department, Memorial Sisli Hospital, Istanbul, Turkey.
Purpose:
To report neurotrophic keratopathy after vitreoretinal surgery combined with aggressive photocoagulation.
Methods:
We report a series of three cases with neurotrophic keratopathy after pars plana vitrectomy combined with endolaser photocoagulation.
Results:
Three patients who had pars plana vitrectomy with different indications were identified. On follow-up, all patients were diagnosed with neurotrophic keratopathy. Two of the patients underwent amniotic membrane transplantation for the treatment of resistant neurotrophic corneal ulcers.
Conclusion:
Neurotrophic keratopathy may occur after pars plana vitrectomy. The possible mechanism is long ciliary nerve damage related to the extensive endolaser photocoagulation.
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