A Rare Case of reticular Epithelial Corneal Edema Due to Ripasudil Post-ICL in a Young Patient

A young female patient underwent uneventful phakic intraocular lens implantation surgery; postoperatively she had raised intraocular pressure with corneal haze in the left eye for which she was started on ripasudil (0.4%) and eventually developed reticular epithelial corneal edema. Reticular epithelial corneal edema is an important but often under-recognized side-effect of ripasudil and netarsudil eye drops. Early detection and discontinuation of the drug is essential to prevent long-term sequelae and ensure favorable outcomes.