title: Bilateral loss of light reflex and accommodation following 360° peripheral retinal laser therapy.
abstract: 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.
authors: Department of Ophthalmology, Layton Rehmatullah Benevolent Trust (LRBT), Lahore, Pakistan. ahmadzeeshandr@yahoo.com
authors: Ahmad Zeeshan
authors: AZ
authors: Jamil
authors: Kashif
authors: K
authors: Iqbal
authors: Talat Mehmood
authors: TM
authors: Gondal
authors: Wasim
authors: W
authors: Iqbal
authors: Fawad-ur-Rahman
authors: Khurram Azam
authors: KA
authors: Mirza
mesh_terms: D000065:Accommodation, Ocular / Q000187:drug effects; D000328:Adult; D002924:Ciliary Body / Q000294:innervation* / Q000528:radiation effects; D006801:Humans; D008028:Light Coagulation / Q000009:adverse effects*; D008297:Male; D008916:Miotics / Q000008:administration & dosage; D009121:Muscle Denervation; D010275:Parasympathetic Nervous System / Q000187:drug effects / Q000528:radiation effects*; D010862:Pilocarpine / Q000008:administration & dosage; D012025:Reflex, Pupillary / Q000187:drug effects; D012162:Retinal Degeneration / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D008916:Miotics; D010862:Pilocarpine