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Ocular and Periocular Tattoo Adverse Effects: A Review
Kar Wai Alvin Lee1, Lisa Kwin Wah Chan1, Angela Wai Kay Lee2
1EverKeen Medical Centre, Hong Kong.
Diagnostics (Basel, Switzerland)
|October 16, 2024
Summary
Ocular and periocular tattoos pose risks like infection and vision loss. Qualified professionals and clear guidelines are essential for patient safety in cosmetic tattooing.
Area of Science:
- Ophthalmology
- Cosmetic Procedures
- Public Health
Background:
- Ocular and periocular tattoos are increasingly popular for self-expression.
- These cosmetic procedures carry significant risks to ocular health and aesthetics.
- Patient and practitioner awareness of potential complications is vital.
Purpose of the Study:
- To review and synthesize the known complications associated with ocular and periocular tattooing.
- To highlight the risks and emphasize the need for safety measures in cosmetic tattooing.
- To inform patients and practitioners about the potential adverse effects.
Main Methods:
- A comprehensive literature review was performed using MEDLINE, PubMed, and Ovid databases.
- Studies on ocular and periocular tattooing complications were evaluated.
- Papers were assessed based on study design and evidence hierarchy.
Main Results:
- Immediate complications include bleeding, infections (conjunctivitis, endophthalmitis), and allergic reactions.
- Delayed complications involve granuloma formation, often requiring treatment.
- Improper technique or ink placement can lead to serious visual impairment.
Conclusions:
- Increased awareness of ocular and periocular tattooing risks is urgently needed.
- Procedures should only be performed by qualified professionals with anatomical knowledge.
- Regulatory guidelines and research on long-term effects are crucial for patient safety.

