Case Report/Small Case SeriesSuture of Symptomatic YAG Laser Peripheral Iridotomies Following Phakic Intraocular Lens ImplantationTognetto, Daniele MD; De Giacinto, Chiara MD; Cirigliano, Gabriella MD Author Information Eye Clinic, University of Trieste, Trieste, Italy Disclosure: The authors declare no conflict of interest. Reprints: Chiara De Giacinto, MD, Eye Clinic, University of Trieste, Piazza Ospedale 1, Trieste 34129, Italy (e-mail: [email protected]). Journal of Glaucoma: July 2017 - Volume 26 - Issue 7 - p 675-677 doi: 10.1097/IJG.0000000000000688 Buy Metrics 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 14 mm Hg. The slit-lamp examination showed a well-centered 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. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.