Refractory iatrogenic pigmentary glaucoma secondary to cosmetic laser treatment: A case report

Eur J Ophthalmol. 2021 Oct 8;11206721211050338. doi: 10.1177/11206721211050338. Online ahead of print.

Abstract

Purpose: To report a case of bilateral iatrogenic pigmentary glaucoma secondary to cosmetic iris-lightening laser treatment.

Case report: A 39-year-old patient presented with bilateral iatrogenic pigmentary glaucoma. She had elevated intraocular pressures (IOPs), scattered iris pitting, and intense angle pigmentation secondary to the cosmetic laser treatment she underwent 4 weeks prior to presentation. Her IOPs were refractory to maximal medical treatment and she subsequently underwent trabeculectomy.

Conclusion: The true scale of complications related to cosmetic laser treatments is as yet unknown. Robust clinical investigations into its safety profile, including long-term data, are required. Prospective patients should consider this with great care. Clinicians should be aware of the potential risks of this procedure, as early recognition of cosmetic laser-induced pigmentary glaucoma may avert further sequelae.

Keywords: Cosmetic; laser; pigmentary glaucoma; treatment refractory.