Neurotrophic corneal defects after diode laser cycloablation

Am J Ophthalmol. 1998 Nov;126(5):725-7. doi: 10.1016/s0002-9394(98)00175-5.


Purpose: To report the occurrence of neurotrophic corneal defects after ciliary body ablation with the diode laser.

Methods: Case reports.

Result: Neurotrophic keratitis, previously associated with cyclocryotherapy, may also be associated with ciliary body ablation with a contact diode laser.

Conclusion: Practitioners who use the diode laser for ciliary body ablation should be aware of neurotrophic keratitis as a possible complication, especially because the patient population receiving this therapy may have diabetes, chronic eye inflammation, or other conditions predisposing to compromised corneal innervation, which is necessary for epithelial integrity.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ciliary Body / surgery*
  • Cornea / innervation
  • Cranial Nerve Diseases / etiology*
  • Cranial Nerve Diseases / pathology
  • Female
  • Glaucoma, Neovascular / surgery
  • Glaucoma, Open-Angle / surgery
  • Humans
  • Intraocular Pressure
  • Keratitis / etiology*
  • Keratitis / pathology
  • Laser Therapy / adverse effects*
  • Male
  • Middle Aged
  • Ophthalmic Nerve / pathology*
  • Visual Acuity