Skip to main content
SpringerLink
Log in

Corneal tattoo with dysphotopsia after iridotomy: worth a chance!

Mut zum Tattoo der Hornhaut bei Dysphotopsien nach Nd:YAG Iridotomien

  • case report
  • Published:
Spektrum der Augenheilkunde Aims and scope Submit manuscript

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.

Zusammenfassung

Es wird über einen 32-jährigen Patienten berichtet, der aufgrund einer zentralen, kongenitalen Toxoplasmosenarbe funktionell einäugig war und am einzigen Auge eine Plateauiriskonfiguration mit Pupillarblock zeigte. Nach unkomplizierten Nd:YAG Iridotomien klagte er über sehr störende photische Phänomene. Nach ausgiebiger Diskussion der therapeutischen Möglichkeiten wurde eine der beiden Iridotomien vernäht, die Beschwerden wurden dadurch aber kaum besser. Deshalb entschlossen wir uns zu einer Tätowierung der Hornhaut genau über der offenen Iridotomie. Sofort postoperativ verschwanden die Dysphotopsien und sind bis dato nicht mehr aufgetreten. Die Tätowierung der Hornhaut ist einfach, sicher, kostengünstig, sehr effektiv und sollte bei nicht aufgehörenden Beschwerden auf jeden Fall in Betracht gezogen warden.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

References

  1. Murphy PH, Trope GE. Monocular blurring. A complication of YAG Laser iridotomy. Ophthalmology. 1991;98:1539–42.

    Article  CAS  PubMed  Google Scholar 

  2. Fresco BB, Trope GR. Opaque contact lenses for YAG Laser iridotomy occlusion. Optom Vis Sci. 1992;69:656–7.

    Article  CAS  PubMed  Google Scholar 

  3. Gupta D, Broadway D. Cost-effective tattooing: the use of sterile ink for corneal tattooing after complicated peripheral iridotomies: an alternative to expensive salts. J Glaucoma. 2010;19:566–7.

    Article  PubMed  Google Scholar 

  4. Remky A, Redbrake C, Wenzel M. Intrastromal corneal tattooing for iris defects. J Cat Refract Surg. 1998;24:1285–6.

    Article  CAS  Google Scholar 

  5. Remky H. Albrecht von Graefe. Facets of his work. On the occasion of the 125th anniversary of his death (20 July 1870). Graefe’s Arch Clin Exp Ophthalmol. 1995;233:537–48.

    Article  CAS  Google Scholar 

  6. Curran EJ. A new operation for glaucoma involving a new principle in the etiology and treatment of chronic primary glaucoma. Arch Ophthalmol. 1920;49:695–716.

    Google Scholar 

  7. American Academy of Ophthalmology. Laser peripheral iridotomy for pupillary-block glaucoma. Ophthalmology. 1994;101:1749–58.

    Article  Google Scholar 

  8. Phillips RL, Campbell MCW, Flanagan JG, Trope GE. Optical explanation of visual blur with partially exposed iridotomies. Invest Ophthalmol Vis Res. 1991;32(Suppl):1210 (Abstract).

    Google Scholar 

  9. Islam N, Franks WA. Therapeutic corneal tattoo following peripheral iridotomy complication. Eye. 2006;20:389–90.

    Article  CAS  PubMed  Google Scholar 

  10. Vera V, Naqi A, Belovay GW, et al. Dysphotopsia after temporal versus superior Laser peripheral iridotomy: a prospective randomized paired eye trial. Am J Ophthalmol. 2014;157:929–35.

    Article  PubMed  Google Scholar 

  11. Weintraub J, Berke SJ. Blurring after iridotomy (letter). Ophthalmol. 1992;99:479–80.

    Article  CAS  Google Scholar 

  12. Spaeth GL, Idowu O, Seligsohn A, et al. The effects of iridotomy size and position on symptoms following laser peripheral iridotomy. J Glaucoma. 2005;14:364–7.

    Article  PubMed  Google Scholar 

  13. Chung RSH, Guan AEK. Unusual visual disturbance following laser peripheral iridotomy for intermittent angle closure glaucoma. Graefe’s Arch Clin Exp Ophthalmol. 2006;244:532–3.

    Article  Google Scholar 

  14. Congdon N, Yan X, Friedman DS, et al. Visual symptoms and retinal straylight after laser peripheral iridotomy: the Zhongshan Angle-Closure Prevention Trial. Ophthalmol. 2012;119:1375–82.

    Article  Google Scholar 

  15. Mannis MJ, Eghbali K, Schwab IR. Keratopigmentation: a review of corneal tattooing. Cornea. 1999;18:633–7.

    CAS  PubMed  Google Scholar 

  16. Segal L, Choremis J, Mabon M. Intrastromal corneal tattooing for symptomatic iridotomies. Br J Ophthalmol. 2012;96:464–5.

    Article  CAS  PubMed  Google Scholar 

  17. Burris TE, Holmes-Higgin DK, Silvestrini TA. Lamellar intrastromal corneal tattoo for treating iris defects (Artificial iris). Cornea. 1998;17:169–73.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Eye Department, Medical University Graz, Graz, Austria

    Christoph Wolfgang Faschinger MD, PhD

  2. Universitäts-Augenklinik der Medizinischen Universität, Auenbruggerplatz 4, 8036, Graz, Austria

    Christoph Wolfgang Faschinger MD, PhD

Authors
  1. Christoph Wolfgang Faschinger MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christoph Wolfgang Faschinger MD, PhD.

Additional information

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.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Faschinger, C. Corneal tattoo with dysphotopsia after iridotomy: worth a chance!. Spektrum Augenheilkd. 29, 118–122 (2015). https://doi.org/10.1007/s00717-015-0250-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00717-015-0250-0

Keywords

Schlüsselwörter

Search

Navigation