Jamil Ahmad Zeeshan, Iqbal Kashif, Gondal Talat Mehmood, Iqbal Wasim, Mirza Khurram Azam
Department of Ophthalmology, Layton Rehmatullah Benevolent Trust (LRBT), Lahore, Pakistan.
J Coll Physicians Surg Pak. 2012 Jul;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.
