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pharmacoeconomics (10) 15 Miscellaneous (40)

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Abstract #81267 Published in IGR 20-3

Neurotrophic keratitis after micropulse transscleral diode laser cyclophotocoagulation

Perez CI; Han Y; Rose-Nussbaumer J; Ou Y; Hsia YC
American journal of ophthalmology case reports 2019; 15: 100469

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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.

Full article

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Classification:

12.10 Cyclodestruction (Part of: 12 Surgical treatment)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)

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