Microkeratome-assisted corneal tattooing: a case report.

Area of Science:

• Ophthalmology
• Corneal Surgery
• Cosmetic Procedures

Background:

• Adherent leucoma, often resulting from penetrating corneal injury, can cause significant cosmetic disfigurement.
• Traditional corneal tattooing methods may have limitations in precision and cosmetic outcome.
• A novel approach is needed to address cosmetic concerns associated with corneal opacities.

Observation:

• A young female patient presented with an adherent leucoma due to a childhood corneal injury.
• A microkeratome was used to create a partial corneal flap (140 μm) for precise access to the leucomatous tissue.
• Organic dye powder was applied to the stromal bed and the corneal flap to mask the opacity.

Findings:

• Microkeratome-assisted corneal tattooing effectively concealed the leucomatous opacity, achieving excellent cosmetic results.
• The patient reported high satisfaction with the cosmetic improvement.
• Corneal topography and best-corrected visual acuity remained stable at a 9-month follow-up, indicating no adverse visual impact.

Implications:

• This technique offers a safe, effective, and precise method for cosmetic corneal tattooing.
• Microkeratome-assisted tattooing may be a valuable option for patients seeking to improve the appearance of corneal scars.
• Further research could explore the long-term efficacy and broader applicability of this innovative procedure.