Corneal tattoo with dysphotopsia after iridotomy: worth a chance!

We report a 32-year-old, functionally monocular male patient with a plateau-iris configuration with pupillary block on his healthy eye. He developed disturbing dysphotopsia after uneventful superior neodymium:yttrium-aluminium-garnet (Nd:YAG) laser iridotomies. After having discussed several options, we surgically closed that iridotomy that was closer to the lid margin. His dysphotopsia did not improve substantially, so we created a small corneal pocket in front of the other unclosed iridotomy and filled it with black tottoo ink. This immediately relieved the patient’s complaints. Corneal tattooing seems to be a simple, safe, inexpensive, and effective procedure distressing visual side effects after iridotomy.