Ahmad Zeeshan Jamil, Kashif Iqbal, Talat Mehmood Gondal, Wasim Iqbal, Fawadur Rahman, Khurram Azam Mirza.
Bilateral loss of light reflex and accommodation following 360° peripheral retinal laser therapy.
J Coll Physicians Surg Pak Jan ;22(7):464-5.
We report a case of bilateral loss of pupillary light reflex and accommodation following 360° peripheral retinal laser therapy. A 24 years old male underwent prophylactic laser barrage for peripheral retinal lattice degenerations. Soon after the procedure, he developed bilateral loss of pupillary light reflex and accommodation. The patient faced difficulty while doing near work. On instillation of 0.125% pilocarpine, both pupils demonstrated the phenomenon of denervation supersensitivity. Damage to the short ciliary nerves was the most likely mechanism responsible for this adverse outcome.
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