Suprachoroidal Injection of Tattoo Ink

Purpose: To describe a case of injection of tattoo dye into the suprachoroidal space. Methods: A single case and its findings were analyzed. Results: A 40-year-old man with a recent history of scleral tattooing presented for evaluation of right-sided blurry vision. An examination of the right eye showed slightly decreased acuity and pupillary response in the right eye compared with the left eye as well as black ink not only in the bilateral subconjunctival spaces but also in the suprachoroidal space. Remarkably, there was no apparent inflammatory reaction. The patient was followed for 8 months after the scleral tattooing procedure and never developed inflammatory sequelae. Conclusions: Suprachoroidal injection of dye is a potential complication of eyeball tattooing. Infection and noninfectious inflammation are common concerns, but some patients may tolerate the dye surprisingly well.