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Stability of Iris pattern corneal tattoo using dermal ink
Hayam Adel Gorgi1, Mohamed-Sameh H El-Agha2, Shireen Mostafa Shousha3
1Former Head of Oculoplastic Department, Memorial Institute for Ophthalmic Research, Cairo, Egypt.
European Journal of Ophthalmology
|March 26, 2026
Summary
Corneal tattooing using dermal ink offers stable, long-term cosmetic results for disfigured eyes. This micropuncture technique demonstrates high patient satisfaction and good tolerance up to 10 years post-procedure.
Area of Science:
- Ophthalmology
- Cosmetic Surgery
- Biomaterials
Background:
- Corneal opacity can cause significant disfigurement.
- Traditional treatments may not restore appearance.
- Dermal inks offer a potential solution for cosmetic corneal tattooing.
Purpose of the Study:
- To evaluate the long-term (≥10 years) stability of color and pattern in dermal ink corneal tattoos.
- To assess patient satisfaction with the cosmetic outcome.
- To determine the safety and efficacy of the micropuncture technique.
Main Methods:
- Retrospective study of 50 patients undergoing corneal tattooing with dermal ink.
- Minimum 10-year follow-up including patient questionnaires and examinations.
- Micropuncture technique targeting the superficial cornea; contour reshaping for strabismus correction.
Main Results:
- High patient satisfaction reported (84% scored 5/5).
- Successful correction of exotropia in 84.6% of cases.
- No aggressive early or late postoperative reactions observed.
- Most patients required two sessions for optimal results.
Conclusions:
- Corneal tattooing with dermal ink is a safe and well-tolerated procedure.
- The technique provides high patient satisfaction with long-lasting cosmetic results.
- Multiple treatment sessions are generally necessary for optimal outcomes.
