Suture of Symptomatic YAG Laser Peripheral Iridotomies Following Phakic Intraocular Lens Implantation

J Glaucoma. 2017 Jul;26(7):675-677. doi: 10.1097/IJG.0000000000000688.

Abstract

A 45-year-old woman complained of glare and photophobia after iris-fixated phakic intraocular lens (IFPIOL) implantation in her left eye. The patient underwent prophylactic laser peripheral iridotomies (LPIs) 2 days before surgery. The uncorrected visual acuity after surgery was 20/20 and the intraocular pressure was 14 mm Hg. The slit-lamp examination showed a well-centered IFPIOL and 2 LPIs at 10 and 2 o'clock partially covered by the upper lid. Twenty days after IFPIOL implantation, as symptoms persisted and were intolerable to the patient, we decide to suture iridotomies using a modified Siepser slip-knot technique. Postoperatively, visual acuity remains 20/20 and patient reported a complete disappearance of symptoms. No intraoperative and postoperative complications were noted. Experiencing glare and photophobia is a rare side effect due to LPI. Suture of iridotomies using a modified Siepser slip-knot technique can be considered a safe and effective procedure to solve this annoying complication.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Intraocular Pressure
  • Iridectomy*
  • Iris / surgery*
  • Laser Therapy / methods
  • Lasers, Solid-State / therapeutic use*
  • Lens Implantation, Intraocular*
  • Middle Aged
  • Myopia / complications
  • Phakic Intraocular Lenses*
  • Suture Techniques*
  • Visual Acuity