Refractory iatrogenic pigmentary glaucoma secondary to cosmetic laser treatment: A case report. Issue 2 (March 2023)

• Record Type: Journal Article
• Authors: Ong, Ariel Yuhan; Ching-A-Sue, Gemma; Krilis, Matthew; Guirao-Navarro, Maria Concepion; Hornby, Stella; Jutley, Gurjeet
• Is Part Of: European journal of ophthalmology. Volume 33:Issue 2(2023)
• Page Start: NP1
• Page End: NP4
• Publication Date: 2023-03
• Subjects: Cosmetic -- laser -- pigmentary glaucoma -- treatment refractory; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.1177/11206721211050338
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: To report a case of bilateral iatrogenic pigmentary glaucoma secondary to cosmetic iris-lightening laser treatment. Case report: A 39-year-old patient presented with bilateral iatrogenic pigmentary glaucoma. She had elevated intraocular pressures (IOPs), scattered iris pitting, and intense angle pigmentation secondary to the cosmetic laser treatment she underwent 4 weeks prior to presentation. Her IOPs were refractory to maximal medical treatment and she subsequently underwent trabeculectomy. Conclusion: The true scale of complications related to cosmetic laser treatments is as yet unknown. Robust clinical investigations into its safety profile, including long-term data, are required. Prospective patients should consider this with great care. Clinicians should be aware of the potential risks of this procedure, as early recognition of cosmetic laser-induced pigmentary glaucoma may avert further sequelae.