Acute corneal edema with subsequent thinning and hyperopic shift following selective laser trabeculoplasty

Jared E. Knickelbein, Annapurna Singh, Brian E. Flowers, Unni K. Nair, Marina Eisenberg, Rachel Davis, Leela V. Raju, Joel S. Schuman, Ian P. Conner

    Research output: Contribution to journalArticlepeer-review

    Abstract

    UNLABELLED: We report 4 cases of acute corneal edema with subsequent thinning and hyperopic shift following routine selective laser trabeculoplasty (SLT) for the treatment of primary open-angle glaucoma. Four women from 3 clinical sites developed acute corneal edema and haze within 2 days of uneventful SLT. In the following weeks to months, all treated corneas thinned to below pre-procedure thicknesses with resultant hyperopic shifts of nearly 2.0 diopters (D) to greater than 6.0 D. All eyes were moderately to highly myopic prior to SLT (spherical equivalent from -5.00 to -12.5 D). The corrected distance visual acuity 6 to 11 months after SLT was within 2 Snellen lines of the pre-procedure acuity in all patients; 2 patients required contact lenses. Corneal edema with subsequent corneal thinning and resultant hyperopic shift is an uncommon but possibly underrecognized complication of SLT, the etiology of which remains unknown but may be associated with moderate to high myopia.

    FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

    Original languageEnglish (US)
    Pages (from-to)1731-1735
    Number of pages5
    JournalJournal of cataract and refractive surgery
    Volume40
    Issue number10
    DOIs
    StatePublished - Oct 1 2014

    ASJC Scopus subject areas

    • Surgery
    • Ophthalmology
    • Sensory Systems

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