SUCCESSFUL CORNEAL GLUING FOR CORNEAL PERFORATION FOLLOWING CYCLODIODE LASER TREATMENT

To report a case of corneal perforation following cyclodiode laser therapy for glaucoma, managed effectively with corneal gluing.

Keywords: Corneal Perforation, Management Of Corneal Perforations

Norfolk and Norwich University Hospital, Norwich, UK.

A patient with advanced primary open angle glaucoma presented with a corneal perforation in the right eye, shortly after undergoing cyclodiode laser treatment. Visual acuity in the affected eye was recorded as no perception of light (NPL). B-scan ultrasonography indicated the presence of kissing choroidal effusions. Immediate management of the perforation included anterior chamber reformation and application of corneal glue. This successfully sealed the perforation, avoiding further complications and maintaining ocular integrity.

Corneal gluing has proven to be a successful emergency intervention for cyclodiode-induced corneal perforation, preserving ocular stability in this complex case. Scleral burn and perforation are known complications of cyclodiode laser. In this case, corneal perforation may have been triggered by a proinflammatory cascade following the procedure, leading to stromal tissue lysis. Additionally, the presence of benzalkonium chloride (BAC) on the ocular surface, known to impair corneal epithelial healing, may have contributed to the perforation. This case underscores the importance of vigilance in monitoring for post-operative complications following cyclodiode laser treatment, and suggests that rapid intervention can yield favourable outcomes.