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Updated: Jan 23, 2026

Author Spotlight: Advancing Corneal Innervation Research Through Innovative Models
Published on: December 8, 2023
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.
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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