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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-

SUBMITTER: Perez CI 

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

REPOSITORIES: biostudies-literature

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