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EnglishA 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 14mmHg. The slit-lamp examination showed a wellcentered 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.
| Titolo: | Suture of Symptomatic YAG Laser Peripheral Iridotomies Following Phakic Intraocular Lens Implantation | |
| Autori: | ||
| Data di pubblicazione: | 2017 | |
| Stato di pubblicazione: | Pubblicato | |
| Rivista: | ||
| 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 14mmHg. The slit-lamp examination showed a wellcentered 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. | |
| Handle: | http://hdl.handle.net/11368/2904711 | |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1097/IJG.0000000000000688 | |
| URL: | http://journals.lww.com/glaucomajournal/Abstract/2017/07000/Suture_of_Symptomatic_YAG_Laser_Peripheral.15.aspx | |
| Appare nelle tipologie: | 1.1 Articolo in Rivista |
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