To report an unusual case of scleral burn during Transscleral Diode Laser Cyclophotocoagulation (TDLC) caused by pigment on the laser probe tip.
Case Report
A 56-year-old man underwent TDLC for severe glaucoma refractory to conventional treatments. During the procedure, he developed a scleral burn attributed to pigment on the laser probe tip. The burn healed spontaneously with topical treatment alone, highlighting the potential for scleral tissue to heal remarkably without further surgical intervention.
Conclusion
This case report underscores the importance of vigilance during TDLC procedures and careful management of potential pigment sources to prevent scleral damage.
BillingsBFletcherDBWeaverAC, et al.Scleral burn and perforation following transscleral cyclophotocoagulation. Am J Ophthalmol Case Rep2023; 32: 101893.
4.
BloomPATsaiJCSharmaK, et al. “Cyclodiode”. trans-scleral diode laser cyclophotocoagulation in the treatment of advanced refractory glaucoma. Ophthalmology1997; 104: 1508–1519; discussion 1519-20.
