April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
SLT (Selective Laser Trabeculoplasty) induced Keratitis
Author Affiliations & Notes
  • Annapurna Singh
    Department of Ophthalmology, Cole Eye Institute, Cleveland, OH
  • Marina Belyayev
    Dept of Ophtahlmology, Case Western Reserve University, Cleveland, OH
  • Alfred M Solish
    Southern California Glaucoma Consultants, University of California, Los Angeles, CA
  • Jon Ruderman
    Northwestern University, Feinberg School of Medicine, Chicago, IL
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 6163. doi:
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    • Get Citation

      Annapurna Singh, Marina Belyayev, Alfred M Solish, Jon Ruderman; SLT (Selective Laser Trabeculoplasty) induced Keratitis. Invest. Ophthalmol. Vis. Sci. 2014;55(13):6163.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

To report keratitis after uneventful Selective Laser Trabeculoplasty (SLT).

 
Methods
 

4 cases with Primary Open Angle Glaucoma (POAG) presented with decreased vision and corneal stromal edema one day after uneventful SLT.

 
Results
 

: Examination revealed localized or diffuse central corneal edema with haze and striae unassociated with rise of intraocular pressure within 24 hours of SLT. There were no untoward events during SLT, which was applied using standard parameters (100 spots) ranging in power from 80 to 1010 mJ. After starting topical steroid drops, within a few weeks there was clearing of edema but central anterior stromal haze in a nummular configuration persisted. Delayed corneal thinning with hyperopic shift and astigmatism developed.

 
Conclusions
 

These cases highlight rare instances of SLT induced keratits. Detailed study of such case is needed to understand pathogenesis.

  
Keywords: 578 laser • 484 cornea: stroma and keratocytes • 568 intraocular pressure  
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