Delayed Onset Corneal Edema Following Selective Laser Trabeculoplasty
DOI:
https://doi.org/10.62856/djcro.v6.41Abstract
A 64-year-old female with mild stage primary open angle glaucoma underwent uncomplicated SLT of the right eye. On post-operative day 1, the patient presented with pain, discomfort, and photophobia of the treated eye and was found to have microcystic corneal edema, markedly reduced visual acuity, and elevated intraocular pressure (IOP) of 42 mm Hg. The patient was started on oral acetazolamide and topical Brinzolamide/Brimonidine twice a day. On post-operative day 2, IOP improved to 15 mm Hg and the microcystic edema had resolved, but diffuse stromal corneal edema with Descemet’s folds remained and vision was markedly impaired. Topical prednisolone was initiated in the treated eye. The edema fully resolved and visual acuity returned to near baseline by post-operative week 5. This case describes a rare case of delayed onset corneal edema following SLT in the setting of subacute IOP elevation.
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