Corneal edema and haze after selective laser trabeculoplasty

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

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Bibliographic Details
Published inJournal of glaucoma Vol. 20; no. 5; p. 327
Main Authors Regina, Meredith, Bunya, Vatinee Y, Orlin, Stephen E, Ansari, Husam
Format Journal Article
LanguageEnglish
Published United States 01.06.2011
Subjects
Corneal Edema - drug therapy
Corneal Edema - etiology
Corneal Opacity - drug therapy
Corneal Opacity - 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
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Summary:To report 2 cases of corneal edema, haze, and thinning in patients after undergoing selective laser trabeculopasty. 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. 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. 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.
ISSN:1536-481X
DOI:10.1097/IJG.0b013e3181e6668d