Corneal edema and haze after selective laser trabeculoplasty

J Glaucoma. Jun-Jul 2011;20(5):327-9. doi: 10.1097/IJG.0b013e3181e6668d.

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.

Publication types

  • Case Reports

MeSH terms

  • 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

Substances

  • Glucocorticoids