{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:11:22Z","timestamp":1789567882105,"version":"build-2803163510"},"reference-count":11,"publisher":"SLACK, Inc.","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ophthalmic Surg Lasers Imaging Retina"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>Intraocular pressure (IOP) spike following various ophthalmic laser procedures, such as laser peripheral iridotomy (LPI), Nd:YAG capsulotomy and laser trabeculoplasty, is a known risk of these procedures. Most cases are mild, amenable to medical treatment, with no impact on final vision. We present five only-eyed cases of wipe-out secondary to elevated IOP following ophthalmic laser procedures and their outcomes. Four out of five cases were associated with a poor visual outcome. Such cases should not be overlooked. In certain places like the UK, only post-LPI IOP is measured, but not other ophthalmic lasers, nor is pre- and post-procedure brimonodine or apraclonidine routinely prescribed to mitigate the IOP spike. We advocate the importance of post-procedure IOP checking, especially in advanced glaucoma patients with narrow safety margins. Precautions and assessment within the first hour post-procedure are critical for patients with very advanced or end-stage glaucoma and narrow safety margins, as urgent treatment may potentially reverse the adverse outcome for these patients.<\/jats:p>","DOI":"10.3928\/23258160-20260730-01","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:25:41Z","timestamp":1787851541000},"page":"604-606","source":"Crossref","is-referenced-by-count":0,"title":["Intraocular Pressure Spikes After Ophthalmic Laser Leading to Wipe-Out in Only-Eyed Patients: A Serious Complication Not to Be Overlooked"],"prefix":"10.3928","volume":"57","author":[{"given":"Jacinta W. Y.","family":"Tse","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, United Christian Hospital and Department of Ophthalmology, Tseung Kwan O. Hospital, Hospital Authority, Hong Kong SAR, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander K. C.","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, United Christian Hospital and Department of Ophthalmology, Tseung Kwan O. Hospital, Hospital Authority, Hong Kong SAR, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily W. H.","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, United Christian Hospital and Department of Ophthalmology, Tseung Kwan O. Hospital, Hospital Authority, Hong Kong SAR, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth K. W.","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, United Christian Hospital and Department of Ophthalmology, Tseung Kwan O. Hospital, Hospital Authority, Hong Kong SAR, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6701319"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.3928\/1542-8877-19930901-13"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2016\/21981.9037"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.3928\/1542-8877-19950901-07"},{"key":"e_1_3_1_6_2","first-page":"833","article-title":"Selective laser trabeculoplasty: current perspectives","volume":"9","author":"Leahy KE","year":"2015","unstructured":"Leahy KE, White AJ. Selective laser trabeculoplasty: current perspectives. Clin Ophthalmol. 2015;9:833\u2013841. PMID:26005327","journal-title":"Clin Ophthalmol"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10103-025-04450-7"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.4321\/S0365-66912004000300003"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/IJG.0000000000002677"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(99)90420-7"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10384-004-0149-9"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010746.pub2"}],"container-title":["Ophthalmic Surgery, Lasers and Imaging Retina"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:54:33Z","timestamp":1789566873000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/23258160-20260730-01"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":11,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,1]]}},"alternative-id":["10.3928\/23258160-20260730-01"],"URL":"https:\/\/doi.org\/10.3928\/23258160-20260730-01","relation":{},"ISSN":["2325-8160","2325-8179"],"issn-type":[{"value":"2325-8160","type":"print"},{"value":"2325-8179","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}