Intractable diplopia: a new indication for corneal tattooing

Incidence, risk factors and management of intractable diplopia

“…It is possible that these methods were used prior to the diagnosis of intractable diplopia being made, but we consider this is unlikely for two reasons. First, the questionnaire clearly asked for the methods that were used to try to treat the intractable diplopia, and second, some of these methods have been reported to be used in other studies 7. Our findings are comparable with others, where patients have tried strabismus surgery, occlusion, opaque contact lenses, and induced ptosis via botulinum toxin and found all methods to be either ineffective or unacceptable 7.…”

“…First, the questionnaire clearly asked for the methods that were used to try to treat the intractable diplopia, and second, some of these methods have been reported to be used in other studies 7. Our findings are comparable with others, where patients have tried strabismus surgery, occlusion, opaque contact lenses, and induced ptosis via botulinum toxin and found all methods to be either ineffective or unacceptable 7. We found opaque IOLs to be by far the most successful method (diplopia eliminated in 86%) and is reasonably comparable with a survey of ophthalmologists that reported 67% of patients were asymptomatic on discharge following this procedure 9.…”

Five-year Results of Corneal Tattooing for Cosmetic Repair in Disfigured Eyes

“…7 Furthermore, corneal tattooing was used to treat intractable diplopia in a patient with a partial third nerve palsy, a sixth nerve palsy, and a blow-out fracture. 8 Although corneal tattooing is now indicated to reduce photophobia, glare, and diplopia in selective cases, it has been mainly used for centuries for cosmetic repair in blind eyes with leucoma. In this study, we tried to reveal the 5-year cosmetic results of corneal tattooing in disfigured eyes and to identify the risk factors associated with complications.…”

A Unique Use for a Corneal Tattoo

“…Interestingly, we found this elective procedure to be a rather radical and irreversible solution in an eye with good vision, but it must be pointed out that the patient found all other occlusive modalities either cosmetically unacceptable or unsatisfactory. There is just one other report in the literature of a central corneal tattoo performed to relieve intractable binocular diplopia 6 . In this case report, the patient tried patching, occlusive contact lens, and botulinum toxin to induce ptosis but found these methods ineffective.…”