Technique to reduce failure with corneal stromal tattoo in patients with symptomatic laser peripheral iridotomy

Authors

  • Emma C Davies Masssachusetts Eye and Ear Infirmary
  • Hajirah N Saeed Massachusetts Eye and Ear Infirmary
  • Roberto Pineda Massachusetts Eye and Ear Infirmary

DOI:

https://doi.org/10.16964/er.v4i1.75

Keywords:

cornea, stroma, tattoo, tattooing, stromal micropuncture, keratopigmentation, iris transillumination

Abstract

Purpose.  This study presents two cases of persistent glare symptoms after laser peripheral iridotomy despite the patients undergoing corneal stromal tattooing with black ink placed in a manually constructed stromal pocket. Possible reasons as to why each case resulted in treatment failure are described along with a technique to reduce such failures.

Methods.  The study design is a retrospective report of two cases of corneal stromal tattooing after symptomatic laser peripheral iridotomy.

Results.  In both cases, failure to resolve glare symptoms was attributed to patchy pigmentation in the corneal stromal pocket that was highlighted only with retro-illumination at the slit lamp. 

Conclusions.  The method proposed to reduce failures is verifying with retro-illumination for defects in a corneal tattoo as a method to reduce failures.

References

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Burris T, Holmes-Higgin D, Silvestrini T. Lamellar intrastromal corneal tattoo for treating iris defects (artificial iris). Cornea 1998; 17: 169-73.

Miller G, Gupta N, Howarth D, et al. A tale of two corneal tattoos. Can J Ophthalmol 2009; 44: 470-2.

Alio J, Rodriquez A, Toffaha B. Keratopigmentation (corneal tattooing) for the management of visual disabilities of the eye related to iris defects. Br J Ophthalmol 2011; 95: 1397-1401.

Faschinger C. Corneal tattoo with dysphotopsia after iridotomy: worth a chance! Spektrum Augenheilkd 2015; 29: 118-22.

Ricardo J, Medhi J, Pineda R. Femtosecond laser-assisted keratopigmentation for the management of visual disabilities due to peripheral iridectomies. J Glaucoma 2015; 24: e22-4.

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Published

2018-06-28

Issue

Vol. 4 No. 1 (2018)

Section

Original Articles

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