Two Cases of Glare after Iridotomy for Phakic Intraocular Lens Implantation.

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

doi:2011.52.12.1537

J Korean Ophthalmol Soc > Volume 52(12); 2011 > Article

Case Report

Journal of the Korean Ophthalmological Society 2011;52(12):1537-1540.
DOI: https://doi.org/10.3341/jkos.2011.52.12.1537 Published online December 15, 2011.

Two Cases of Glare after Iridotomy for Phakic Intraocular Lens Implantation.

Kyung Hoon Shin, Keun Ho Kim, Ji Won Kwon

Department of Ophthalmology, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea. eyeminerva@yahoo.co.kr

안내렌즈삽입술을 위한 홍채절개술 후 발생한 눈부심 2예

신경훈⋅김근호⋅권지원

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

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.

Key Words: Corneal tattooing;Glare;Phakic intraocular lens implantation