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01.06.2015 | case report | Ausgabe 3/2015

Spektrum der Augenheilkunde 3/2015

Corneal tattoo with dysphotopsia after iridotomy: worth a chance!

Zeitschrift:
Spektrum der Augenheilkunde > Ausgabe 3/2015
Autor:
MD, PhD Univ.-Prof. Dr. Christoph Wolfgang Faschinger
Wichtige Hinweise
This paper was presented at the meeting organized by AMO “visus & visionen 2014”, Salzburg, Austria, February 8, 2014.
This paper was presented at the meeting organized by AMO “visus & visionen 2014”, Salzburg, Austria, February 8, 2014.

Summary

We report a 32-year-old, functionally monocular male patient with a plateau-iris configuration with pupillary block on his healthy eye. He developed disturbing dysphotopsia after uneventful superior neodymium:yttrium-aluminium-garnet (Nd:YAG) laser iridotomies. After having discussed several options, we surgically closed that iridotomy that was closer to the lid margin. His dysphotopsia did not improve substantially, so we created a small corneal pocket in front of the other unclosed iridotomy and filled it with black tottoo ink. This immediately relieved the patient’s complaints. Corneal tattooing seems to be a simple, safe, inexpensive, and effective procedure distressing visual side effects after iridotomy.

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