Work

Cosmetic Therapeutic Keratopigmentation

Year: 2025

Type: article

Abstract: Purpose: To analyze indications safety and potential complications of cosmetic therapeutic corneal keratopigmentation to treat disfiguring aspect of opaque corneas. Methods: Eight eyes of 8 consecutive patients were enrolled in therapeutic corneal keratopigmentation. Surgery was performed using manual technique, and a two-plane corneal dissection was performed. In the deeper pocket, brown pigment was injected to mimic iris color. In the more superficial and smaller pocket, black pigment was used to simulate pupillary opening. Results: Seven out of 8 eyes had significant improvements in cosmesis after surgery. One patient did not have a major improvement due to significant superficial corneal neovascularization. In two eyes, there was pigment fading in the postoperative period, but no additional surgeries were performed. No complications were noted in any of the patients. Conclusion: Therapeutic corneal keratopigmentation can lead to a significant change in ocular appearance and may improve self-esteem and overall life quality. Pigment fading and corneal neovascularization can be a potential problem. Careful patient selection and counseling are important to avoid patients seeking unachievable results. Plain Language Summary: Blindness can lead to a disfiguring appearance caused by corneal opacification. In this study, we analyze the results of performing corneal tattoo to cover the “whiteish” aspect of the cornea and to restore a more natural look for the blind eye. This technique can be performed in eyes with opaque corneas requiring minimal additional surgical skills and can significantly improve patient’s self-esteem. Keywords: keratopigmentation, corneal opacity, corneal tattoo, blind eye

Source: Clinical ophthalmology

DOI: 10.2147/opth.s507490

Authors: Bruno Trindade, Isadora Coelho, Larissa Magalhães, Letícia Crepaldi, Frederico Man Fu, Luiza Da Glória

Institution: Faculdade de Ciências Médicas de Minas Gerais

Language: English

Topic: Corneal Surgery and Treatments

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,320