Keratopigmentation in the modern era: A review of current techniques, results, and safety

To conduct a literature review on current knowledge regarding keratopigmentation (KTP), with a particular focus on femtosecond-assisted procedures. A narrative literature review was performed. Academic databases (PubMed, Google Scholar, Cochrane Library, and SciELO) were searched for articles contai...

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Main Authors: Kepa Balparda, Mauricio Agudelo-Cardona, Francis Ferrari, Tatiana Herrera-Chalarca, Isabela Franco-Sánchez
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-08-01
Series:Indian Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/IJO.IJO_3027_24
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author Kepa Balparda
Mauricio Agudelo-Cardona
Francis Ferrari
Tatiana Herrera-Chalarca
Isabela Franco-Sánchez
author_facet Kepa Balparda
Mauricio Agudelo-Cardona
Francis Ferrari
Tatiana Herrera-Chalarca
Isabela Franco-Sánchez
author_sort Kepa Balparda
collection DOAJ
description To conduct a literature review on current knowledge regarding keratopigmentation (KTP), with a particular focus on femtosecond-assisted procedures. A narrative literature review was performed. Academic databases (PubMed, Google Scholar, Cochrane Library, and SciELO) were searched for articles containing the keywords “keratopigmentation” and “corneal tattoo.” All relevant articles were reviewed, and appropriate ones related to the topic were included in the review. KTP has a variety of indications, including enhancing the aesthetic profile of blind eyes with decompensated corneas and alleviating symptoms related to iris atrophy. The trend of strictly cosmetic KTP has recently gained popularity among several surgeons worldwide. Despite some controversy, most articles reported excellent outcomes associated with KTP, alongside a high safety profile. Histopathological studies have demonstrated that modern micronized pigments are entirely biocompatible. Femtosecond laser-assisted KTP appears to be a safe and effective procedure. However, more long-term studies are necessary to enhance our understanding of the risks associated with strictly cosmetic applications of this technique.
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spelling doaj-art-0fb4e36997fd4985a14d0f5d86de57682025-08-20T02:56:30ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-08-017381108111510.4103/IJO.IJO_3027_24Keratopigmentation in the modern era: A review of current techniques, results, and safetyKepa BalpardaMauricio Agudelo-CardonaFrancis FerrariTatiana Herrera-ChalarcaIsabela Franco-SánchezTo conduct a literature review on current knowledge regarding keratopigmentation (KTP), with a particular focus on femtosecond-assisted procedures. A narrative literature review was performed. Academic databases (PubMed, Google Scholar, Cochrane Library, and SciELO) were searched for articles containing the keywords “keratopigmentation” and “corneal tattoo.” All relevant articles were reviewed, and appropriate ones related to the topic were included in the review. KTP has a variety of indications, including enhancing the aesthetic profile of blind eyes with decompensated corneas and alleviating symptoms related to iris atrophy. The trend of strictly cosmetic KTP has recently gained popularity among several surgeons worldwide. Despite some controversy, most articles reported excellent outcomes associated with KTP, alongside a high safety profile. Histopathological studies have demonstrated that modern micronized pigments are entirely biocompatible. Femtosecond laser-assisted KTP appears to be a safe and effective procedure. However, more long-term studies are necessary to enhance our understanding of the risks associated with strictly cosmetic applications of this technique.https://journals.lww.com/10.4103/IJO.IJO_3027_24cornealaser therapypigmentation
spellingShingle Kepa Balparda
Mauricio Agudelo-Cardona
Francis Ferrari
Tatiana Herrera-Chalarca
Isabela Franco-Sánchez
Keratopigmentation in the modern era: A review of current techniques, results, and safety
Indian Journal of Ophthalmology
cornea
laser therapy
pigmentation
title Keratopigmentation in the modern era: A review of current techniques, results, and safety
title_full Keratopigmentation in the modern era: A review of current techniques, results, and safety
title_fullStr Keratopigmentation in the modern era: A review of current techniques, results, and safety
title_full_unstemmed Keratopigmentation in the modern era: A review of current techniques, results, and safety
title_short Keratopigmentation in the modern era: A review of current techniques, results, and safety
title_sort keratopigmentation in the modern era a review of current techniques results and safety
topic cornea
laser therapy
pigmentation
url https://journals.lww.com/10.4103/IJO.IJO_3027_24
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AT francisferrari keratopigmentationinthemoderneraareviewofcurrenttechniquesresultsandsafety
AT tatianaherrerachalarca keratopigmentationinthemoderneraareviewofcurrenttechniquesresultsandsafety
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