J Korean Ophthalmol Soc.  2011 Dec;52(12):1537-1540. 10.3341/jkos.2011.52.12.1537.

Two Cases of Glare after Iridotomy for Phakic Intraocular Lens Implantation

• Shin KH
• Kim KH
• Kwon JW

• KMID: 2215162
• DOI: http://doi.org/10.3341/jkos.2011.52.12.1537

Abstract

PURPOSE
The present study is a case report of 2 patients (4 eyes) whose symptoms subsided after corneal tattooing over the iridotomy site for persistent and excessive glare, which developed after iridotomy for phakic intraocular lens implantation.
CASE SUMMARY
Two patients developed excessive glare symptoms after receiving iridotomy as a pre-procedure for phakic intraocular lens implantation. Case 1 and Case 2 showed persistent glare symptoms over a period of 6 months. Corneal tattooing was performed on the patients by applying tissue dye to the corneal stroma over the iridotomy site. The symptom was evaluated by comparison of glare scores from 0 to 10 after the procedure with a score of 10 prior to the procedure. After corneal tattooing, patient 1 reported a score of 4 and patient 2 reported a score of 3, showing significant symptom improvements without additional complications.
CONCLUSIONS
Corneal tattooing at the peripheral cornea in front of the iridotomy site for patients with persistent glare symptoms after prophylactic iridotomy was shown to be effective.

Keyword

Corneal tattooing; Glare; Phakic intraocular lens implantation

MeSH Terms

Cornea
Corneal Stroma
Glare
Humans
Phakic Intraocular Lenses
Tattooing

Figure

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  Figure 1. Pre and post operative photos. Iridotomy sites were seen (A, D). The iridotomy sites were not completely covered by the upper eyelid (B, E). After tattooing, the cornea over the iridotomy sites were stained with black dye (C, F).

Reference

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