Corneal edema and keratitis following selective laser trabeculoplasty

Erica Tan Liu; Loren S Seery; Analisa Arosemena; Tania Lamba; Craig J Chaya

doi:10.1016/j.ajoc.2016.11.007

Corneal edema and keratitis following selective laser trabeculoplasty

Am J Ophthalmol Case Rep. 2016 Nov 16:6:48-51. doi: 10.1016/j.ajoc.2016.11.007. eCollection 2017 Jun.

Authors

Erica Tan Liu¹, Loren S Seery^{2

3}, Analisa Arosemena⁴, Tania Lamba⁵, Craig J Chaya^{3

6}

Affiliations

¹ New England Eye Center, 800 Washington St., Box 450, Boston, MA 02111, USA.
² Pacific Cataract & Laser Institute, 6695 W. Rio Grande Avenue, Kennewick, WA 99336, USA.
³ Seventh-day Adventist Guam Clinic, 388 Ypao Road, Tamuning, GU 96913, USA.
⁴ Aran Eye Associates, 1097 Le Jeune Rd, Miami, FL 33134, USA.
⁵ George Washington University, 2150 Pennsylvania Ave NW, Washington, DC 20037, USA.
⁶ John A. Moran Eye Center, University of Utah, 65 Mario Capecchi Dr., Salt Lake City, UT 84132, USA.

Abstract

Purpose: To describe three cases of keratitis following Selective Laser Trabeculoplasty (SLT).

Observations: Three females with a history of glaucoma presented with corneal edema, keratitis (endothelial, epithelial) and decreased visual acuity shortly after SLT. There was variable resolution of symptoms after starting treatment with oral antiherpetics and topical steroids.

Conclusions and importance: With the increase in usage of SLT as a treatment for glaucoma and subsequent reports of keratitis, it is imperative for ophthalmic surgeons to be aware of herpes simplex as a possible risk factor. Prompt treatment with antivirals and steroids can potentially prevent scarring and permanent damage to the cornea.

Keywords: HSV keratitis; Herpes simplex keratitis; SLT; Selective laser trabeculoplasty.

Publication types

Case Reports