Hypopyon following selective laser trabeculoplasty

Purpose: To report a hypopyon following selective laser trabeculoplasty (SLT). Observations: An 85-year-old woman with primary open-angle glaucoma underwent routine SLT. In the early post-procedural period, she presented with pain and decreased vision, and she was found to have hypopyon, trabeculiti...

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Main Authors: Lisa R. Koenig, Kyle D. Kovacs, Mrinali P. Gupta, Sarah H. Van Tassel
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993620300499
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author Lisa R. Koenig
Kyle D. Kovacs
Mrinali P. Gupta
Sarah H. Van Tassel
author_facet Lisa R. Koenig
Kyle D. Kovacs
Mrinali P. Gupta
Sarah H. Van Tassel
author_sort Lisa R. Koenig
collection DOAJ
description Purpose: To report a hypopyon following selective laser trabeculoplasty (SLT). Observations: An 85-year-old woman with primary open-angle glaucoma underwent routine SLT. In the early post-procedural period, she presented with pain and decreased vision, and she was found to have hypopyon, trabeculitis, and corneal edema. The patient was treated with prednisolone acetate and empirically with valacyclovir due to the possibility of herpetic keratouveitis. Work-up for potential etiologies was unrevealing. Her symptoms resolved with treatment, and at eight months follow-up her visual acuity and intraocular pressure had stabilized to her baseline. Conclusions: Though safe, SLT may be associated with rare adverse events requiring intervention. Hypopyon following SLT is extremely rare, and investigation for causes unrelated to the history of SLT should be undertaken as appropriate. Importance: To the best of our knowledge, this is the first report of a hypopyon following SLT in a patient with no history of inflammatory intra-ocular disease.
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spelling doaj.art-4521b91726fd4f0f84aebeafd4b505db2022-12-22T02:02:53ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362020-06-0118Hypopyon following selective laser trabeculoplastyLisa R. Koenig0Kyle D. Kovacs1Mrinali P. Gupta2Sarah H. Van Tassel3Corresponding author. Weill Cornell Medical College, Department of Ophthalmology, 1305 York Avenue, 11th Floor, New York, NY, 10021, United States.; Weill Cornell Medical College, Department of Ophthalmology, New York, NY, United StatesWeill Cornell Medical College, Department of Ophthalmology, New York, NY, United StatesWeill Cornell Medical College, Department of Ophthalmology, New York, NY, United StatesWeill Cornell Medical College, Department of Ophthalmology, New York, NY, United StatesPurpose: To report a hypopyon following selective laser trabeculoplasty (SLT). Observations: An 85-year-old woman with primary open-angle glaucoma underwent routine SLT. In the early post-procedural period, she presented with pain and decreased vision, and she was found to have hypopyon, trabeculitis, and corneal edema. The patient was treated with prednisolone acetate and empirically with valacyclovir due to the possibility of herpetic keratouveitis. Work-up for potential etiologies was unrevealing. Her symptoms resolved with treatment, and at eight months follow-up her visual acuity and intraocular pressure had stabilized to her baseline. Conclusions: Though safe, SLT may be associated with rare adverse events requiring intervention. Hypopyon following SLT is extremely rare, and investigation for causes unrelated to the history of SLT should be undertaken as appropriate. Importance: To the best of our knowledge, this is the first report of a hypopyon following SLT in a patient with no history of inflammatory intra-ocular disease.http://www.sciencedirect.com/science/article/pii/S2451993620300499HypopyonSelective laser trabeculoplasty
spellingShingle Lisa R. Koenig
Kyle D. Kovacs
Mrinali P. Gupta
Sarah H. Van Tassel
Hypopyon following selective laser trabeculoplasty
American Journal of Ophthalmology Case Reports
Hypopyon
Selective laser trabeculoplasty
title Hypopyon following selective laser trabeculoplasty
title_full Hypopyon following selective laser trabeculoplasty
title_fullStr Hypopyon following selective laser trabeculoplasty
title_full_unstemmed Hypopyon following selective laser trabeculoplasty
title_short Hypopyon following selective laser trabeculoplasty
title_sort hypopyon following selective laser trabeculoplasty
topic Hypopyon
Selective laser trabeculoplasty
url http://www.sciencedirect.com/science/article/pii/S2451993620300499
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AT mrinalipgupta hypopyonfollowingselectivelasertrabeculoplasty
AT sarahhvantassel hypopyonfollowingselectivelasertrabeculoplasty