Corneal edema and haze after selective laser trabeculoplasty.

Abstract

PURPOSE:

To report 2 cases of corneal edema, haze, and thinning in patients after undergoing selective laser trabeculopasty.

METHODS:

Selective laser trabeculoplasty was performed for the treatment of primary open-angle glaucoma on 2 patients who subsequently developed corneal stromal haze within 24 to 48 hours of the procedure.

RESULTS:

The patients were treated with topical steroids for several weeks. Although their corneal edema resolved, both patients were left with residual corneal scarring and thinning. One patient had a significant hyperopic shift.

CONCLUSIONS:

Corneal edema, haze, and thinning after selective laser trabeculoplasty is an extremely rare event, with only 2 other cases reported in the literature. Although certain causes are postulated to play a role in this complication, it is not yet understood what may predispose a patient to corneal changes as a result of this laser procedure.

• Authors: Meredith Regina, Vatinee Y Bunya, Stephen E Orlin, Husam Ansari
• Journal: Journal of glaucoma (J Glaucoma) 2011 Jun-Jul Vol. 20 Issue 5 Pg. 327-9 ISSN: 1536-481X [Electronic] United States
• PMID: 20717057 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids

Topics

• Corneal Edema (drug therapy, etiology)
• Corneal Opacity (drug therapy, etiology)
• Corneal Stroma (pathology)
• Female
• Glaucoma, Open-Angle (surgery)
• Glucocorticoids (administration & dosage)
• Humans
• Hyperopia (etiology)
• Intraocular Pressure
• Laser Therapy (adverse effects)
• Middle Aged
• Trabeculectomy (adverse effects)
• Visual Acuity