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Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

Claudio I Perez1,2, Ying Han1, Jennifer Rose-Nussbaumer1,3

  • 1Department of Ophthalmology, University of California, San Francisco, CA, USA.

American Journal of Ophthalmology Case Reports
|June 14, 2019
PubMed
Abstract

Insights

Neurotrophic keratitis (NK) can occur after micropulse transscleral cyclophotocoagulation (MP-TCP), especially in patients with pre-existing corneal sensation issues. Close monitoring and preoperative discussion are crucial for managing this vision-threatening complication.

Area of Science:

  • Ophthalmology
  • Corneal Surgery

Background:

  • Micropulse transscleral cyclophotocoagulation (MP-TCP) is a glaucoma treatment.
  • Predisposing factors for decreased corneal sensation increase risk for ocular surface disease.

Observation:

  • Two cases of neurotrophic keratitis (NK) developed one month post-MP-TCP.
  • Patients had underlying factors for reduced corneal sensation.
  • Initial treatments failed, necessitating bandage contact lens or tarsorrhaphy.

Findings:

  • Neurotrophic keratitis (NK) is a potential complication following MP-TCP.
  • Recurrence of NK was observed in both reported cases.
  • MP-TCP may trigger NK in susceptible individuals.

Implications:

  • Ophthalmologists should counsel high-risk patients about the possibility of NK after MP-TCP.
  • Postoperative surveillance is essential for early detection and management of NK.
  • This complication, though uncommon, can threaten vision and requires careful consideration.
Keywords:
GlaucomaLasers solid-stateMicropulse transscleral cyclophotocoagulationNeurotrophic keratitis

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