Two Cases of Glare after Iridotomy for Phakic Intraocular Lens Implantation

Kyung-Hoon Shin; Keun Ho Kim; Ji-Won Kwon

doi:10.3341/jkos.2011.52.12.1537

Journal List > J Korean Ophthalmol Soc > v.52(12) > 1008964

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Shin, Kim, and Kwon: Two Cases of Glare after Iridotomy for Phakic Intraocular Lens Implantation

Original Article

J Korean Ophthalmol Soc 2011;52(12):1537-1540.

Published online: 7 September 2011

DOI: https://doi.org/10.3341/jkos.2011.52.12.1537

Two Cases of Glare after Iridotomy for Phakic Intraocular Lens Implantation

Kyung-Hoon Shin, MD, Keun Ho Kim, MD, Ji-Won Kwon, MD, PhD

Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea

Address reprint requests to Ji-Won Kwon, MD, PhD Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine #697-24 Hwajeong-dong, Deogyang-gu, Goyang 412-270, Korea Tel: 82-31-810-6250, Fax: 82-31-969-0500, E-mail: eyeminerva@yahoo.co.kr

Received 31 May 20118 July 2011 Accepted 18 October 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Corneal tattooing, Glare, Phakic intraocular lens implantation

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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).

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