Corneal perforation associated with argon laser photocoagulation for a retinal tear

American Journal of Ophthalmology
M A KeithahnL S Morse

Abstract

To report a corneal perforation during argon laser photocoagulation around a retinal tear following pneumatic retinopexy. The patient was examined and found to have a corneal perforation with pigment in the base of the wound. To help explain this phenomenon, we evaluated the ability of argon blue-green laser to create a corneal perforation in a cadaver eye. In a cadaver eye, we induced a corneal perforation with argon laser only when a pigmented substance was present on the corneal surface. We hypothesize that pigmented material such as an eyelash or mascara caught between the cornea and contact lens interface may have facilitated this rare complication. Clinicians should be wary of any pigmented substance on the surface of the cornea or ophthalmoscopic lens when performing argon laser photocoagulation.

References

Aug 15, 1990·American Journal of Ophthalmology·R S RubinfeldL E Zimmerman
Sep 15, 1990·American Journal of Ophthalmology·W D IrvineD H Nicholson
Jul 1, 1971·Archives of Ophthalmology·R R PfisterR G Webster

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Citations

Jul 25, 2000·Survey of Ophthalmology·Y Barkana, M Belkin
Dec 10, 2002·Journal of Clinical Laser Medicine & Surgery·Gary H WestermanM John Hicks
Oct 4, 2013·International Ophthalmology Clinics·Gargi K VoraJames Chodosh
Apr 26, 2002·Cornea·Daijiro MikiMark W Grinstaff
Feb 23, 2021·Current Eye Research·Donald GauldinSami H Uwaydat

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