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Corneal decompensation after argon laser iridectomy.
A L Schwartz1, N F Martin, P A Weber
1Department of Ophthalmology, Washington Hospital Center, Washington, DC.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|November 1, 1988
Summary
Argon laser iridectomy for angle closure glaucoma can rarely lead to corneal decompensation. Ophthalmologists should discuss this risk and consider prelaser corneal evaluation for high-risk patients.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Corneal Disease
Background:
- Angle closure glaucoma is a condition requiring treatment to prevent vision loss.
- Argon laser iridectomy is a common surgical procedure for managing angle closure glaucoma.
Observation:
- Five eyes across three patients experienced generalized corneal decompensation post-argon laser iridectomy.
- This complication occurred in eyes with a history of angle closure glaucoma, elevated intraocular pressure, and inflammation.
Findings:
- Associated factors for corneal decompensation included corneal guttate, diabetes, and multiple high-energy laser treatments.
- Bullous keratopathy is a potential rare risk following this procedure.
Implications:
- Ophthalmologists must counsel patients on the rare risk of bullous keratopathy after argon laser iridectomy.
- Pre-laser specular microscopy may be beneficial for identifying high-risk patients and documenting corneal health.