Treatment of lipid keratopathy with the argon laser.

Abstract
Patients (22) with lipid keratopathy were treated with Ar laser photocoagulation to the feeder vessels. Two were grafted just over a wk after treatment and the corneal discs examined histologically. The remainder of the patients were followed up for at least 1 yr. In 6 cases the visual acuity improved, in 3 deteriorated and in 10 did not change. The density and extent of the lipid deposition were diminished in 50% of cases. The most common complications were bleeding into the lipid keratopathy and iris damage. The only serious problem was a disciform type of lipid keratopathy that flared up after treatment. Suggestions are made for improvements.