Femtosecond laser-assisted keratopigmentation for the management of visual disabilities due to peripheral iridectomies.
OBJECTIVE
To report the technique and result of keratopigmentation using a femtosecond laser for the treatment of functional visual disabilities caused by peripheral iridectomies.


METHODS
Case report.


METHODS
Two eyes of 2 patients underwent femtosecond laser-assisted keratopigmentation (FLAK) for moderate to severe visual dysfunction secondary to peripheral iridectomies. The main outcomes measures of the study were changes in visual-related symptoms, cosmesis, and intraoperative surgical complications.


RESULTS
Following FLAK, the visual-related symptoms (ghosting, glare, and monocular diplopia) improved in both cases with significant improvement to total elimination of symptoms. No patient lost any lines of visual acuity, and no significant complications were observed during the follow-up period. The cosmetic appearance was reported as very good.


CONCLUSIONS
FLAK is minimally invasive and results in a significant decrease in the subjective glare and photophobia and even in resolution of monocular diplopia. The cosmetic outcome was also favorable. This technique allows surgeons to correct visual disabilities associated with iris defects with a high success rate while avoiding more aggressive intraocular surgery.
*The International Council of Ophthalmology, San Francisco, CA †Department of Cornea, Massachusetts Eye and Ear Infirmary, Boston, MA.
Jose Reinaldo da Silva
JR
Ricardo
Jnanankar
J
Medhi
Roberto
R
Pineda
D000368:Aged; D004396:Coloring Agents / Q000627:therapeutic use*; D003319:Corneal Stroma / Q000187:drug effects* / Q000601:surgery; D019466:Glare; D006801:Humans; D032801:Iridectomy / Q000009:adverse effects*; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D020795:Photophobia / Q000209:etiology / Q000628:therapy*; D010858:Pigmentation; D012189:Retrospective Studies; D014786:Vision Disorders / Q000209:etiology / Q000628:therapy*; D014792:Visual Acuity
D004396:Coloring Agents