Laser Peripheral Iridotomy (LPI) and Corneal Tattooing

Posted by mandalaythu @mandalaythu, Aug 18, 2021

Hello,
I had LPI done almost a year and have significant vision problems and my life has been upside down ever since. The glare and blur affect everyday of my life. My ophthalmologist recommend corneal tattooing. and i am fear of complications. I tried colored contact lenses, but did not help with the glare and made me more blurry. I was wondering if anyone has done corneal tattooing? Please share your experience or advice me for information and possible side effects if any.
Thank you in advance!

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Hello @mandalaythu and welcome to Mayo Clinic Connect. I found an article on the National Institute of Health's website about corneal tattooing. Here is the link, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771431/

Here is link to a conversation about vision problems following surgery, https://connect.mayoclinic.org/discussion/yag-laser-iridotomy-complications/?commentsorder=newest&pg=2. Some of these members have had corneal tattooing suggested to them. You might want to read their posts as well.

I would also like to invite one of our mentors who has had vision problems to post with you about this, @rwinney. She may know of other members who have had this procedure.

Are you able to function with your current vision problems, @mandalaythu? Can you drive, read, etc.?

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@hopeful33250

Hello @mandalaythu and welcome to Mayo Clinic Connect. I found an article on the National Institute of Health's website about corneal tattooing. Here is the link, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771431/

Here is link to a conversation about vision problems following surgery, https://connect.mayoclinic.org/discussion/yag-laser-iridotomy-complications/?commentsorder=newest&pg=2. Some of these members have had corneal tattooing suggested to them. You might want to read their posts as well.

I would also like to invite one of our mentors who has had vision problems to post with you about this, @rwinney. She may know of other members who have had this procedure.

Are you able to function with your current vision problems, @mandalaythu? Can you drive, read, etc.?

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Thank you @hopeful33250 for bringing me in to the conversation.

Hello @mandalaythu. Thank you for posting about your experience with Laser Peripheral Iridotomy (LPI). Was this procedure done to treat or prevent your closed angle glaucoma?

I'm sorry to hear that you are still having vision problems and sensitivity to light. You must be quite frustrated. I have not received corneal tattooing, however have received corneal transplants and had YAG laser surgery for secondary cataracts, after having my first cataract surgeries.

I understand your concerns and what its like to live with vision problems and light sensitivities. In my case, my vision has thankfully been restored, but my photophobia and sensitizations remain from a chronic pain syndrome called Central Sensitization Syndrome.

It appears corneal tattooing has mixed reviews. Have you sought a second opinion on this procedure?

REPLY
@hopeful33250

Hello @mandalaythu and welcome to Mayo Clinic Connect. I found an article on the National Institute of Health's website about corneal tattooing. Here is the link, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1771431/

Here is link to a conversation about vision problems following surgery, https://connect.mayoclinic.org/discussion/yag-laser-iridotomy-complications/?commentsorder=newest&pg=2. Some of these members have had corneal tattooing suggested to them. You might want to read their posts as well.

I would also like to invite one of our mentors who has had vision problems to post with you about this, @rwinney. She may know of other members who have had this procedure.

Are you able to function with your current vision problems, @mandalaythu? Can you drive, read, etc.?

Jump to this post

Thank you @hopeful33250 for your reply and the links. I am really appreciated it. I will follow the conversation link you provided. I am able to function with current vision problems, but it is not well like before. I cannot drive at night at all and even as a passengers since the incoming cars headlights are too bright for me and I couldn't look straight at all. I can read about an hour and I have to rest my eyes for a while like 3 hours. The worst is I cannot be in the bright room because I see lots of floaters. I cannot look at the white wall or white papers since all kinds of black lines and spots. So I cannot work. It's been almost a year and is not subside. I am very depressed. I was wondering if Corneal Tattooing will help me not to have these vision problems. I would like to have infomation on good doctor who perform corneal tattooing procedure, If you find those information, please let me know. Thanks again @hopeful33250 !

REPLY
@rwinney

Thank you @hopeful33250 for bringing me in to the conversation.

Hello @mandalaythu. Thank you for posting about your experience with Laser Peripheral Iridotomy (LPI). Was this procedure done to treat or prevent your closed angle glaucoma?

I'm sorry to hear that you are still having vision problems and sensitivity to light. You must be quite frustrated. I have not received corneal tattooing, however have received corneal transplants and had YAG laser surgery for secondary cataracts, after having my first cataract surgeries.

I understand your concerns and what its like to live with vision problems and light sensitivities. In my case, my vision has thankfully been restored, but my photophobia and sensitizations remain from a chronic pain syndrome called Central Sensitization Syndrome.

It appears corneal tattooing has mixed reviews. Have you sought a second opinion on this procedure?

Jump to this post

Hello @rwinney
Thank you for your reply. LPI was done to prevent Angle Closure Glaucoma. I just went to see my doctor for annual checkup, but I was diagnosed with ACG. Then I had to do LPI in a few weeks. Ever since I am having vision problems. Yes, I went to see another ophthalmologist to get 2nd opinion, but he wasn't quite sure if there will be complications after corneal tattooing since none of his patient hasn't gone through this procedure yet. I am in hopeless situation. I worst things is I cannot work since I cannot look at the white papers.
Are there any reviews on corneal tattooing I can read?

REPLY
@mandalaythu

Thank you @hopeful33250 for your reply and the links. I am really appreciated it. I will follow the conversation link you provided. I am able to function with current vision problems, but it is not well like before. I cannot drive at night at all and even as a passengers since the incoming cars headlights are too bright for me and I couldn't look straight at all. I can read about an hour and I have to rest my eyes for a while like 3 hours. The worst is I cannot be in the bright room because I see lots of floaters. I cannot look at the white wall or white papers since all kinds of black lines and spots. So I cannot work. It's been almost a year and is not subside. I am very depressed. I was wondering if Corneal Tattooing will help me not to have these vision problems. I would like to have infomation on good doctor who perform corneal tattooing procedure, If you find those information, please let me know. Thanks again @hopeful33250 !

Jump to this post

Hello @mandalaythu

If you want to find a doctor who is experienced in doing this type of procedure, I would recommend that you visit a well-known eye center. I'm assuming that you live in the U.S. If that is the case, you might consider going to a university medical school in your area that has a well-respected eye center. You could also try a research-oriented center like Mayo Clinic, Cleveland Clinic, or another one in your area.

The American Academy of Ophthalmology might also have some recommendations. Their website address is http://www.aao.org. Here is an article from the website of The American Academy of Ophthalmology. The article is dated 2017 but it gives a description of corneal tattooing,https://www.aao.org/clinical-video/corneal-tattooing.

I hope this helps you in your search for a second opinion. Will you post again and let me know how you are doing?

REPLY
@mandalaythu

Hello @rwinney
Thank you for your reply. LPI was done to prevent Angle Closure Glaucoma. I just went to see my doctor for annual checkup, but I was diagnosed with ACG. Then I had to do LPI in a few weeks. Ever since I am having vision problems. Yes, I went to see another ophthalmologist to get 2nd opinion, but he wasn't quite sure if there will be complications after corneal tattooing since none of his patient hasn't gone through this procedure yet. I am in hopeless situation. I worst things is I cannot work since I cannot look at the white papers.
Are there any reviews on corneal tattooing I can read?

Jump to this post

I agree with @hopeful33250. Researching your local eye institutes and medical colleges, or research centers, should bring you to a more experienced Opthamologist. There is help out there for you.

Please hang tough, and be your own advocate. Keep searching, making calls, and stay positive. Don't give up. There is always hope.

Good luck! Please keep us posted on your progress.

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