Cosmetic Therapeutic Keratopigmentation

Bruno Lovaglio Cançado Trindade,1– 3 Isadora Brito Coelho,1 Larissa Lima Magalhães,1 Letícia Arriel Crepaldi,1,2 Frederico Moreira Man Fu,2 Luiza Machado Ribeiro Da Glória2 1Cornea Department, Instituto de Olhos Ciências Médicas, Belo Horizonte, Brazil; 2Faculdade de Ciências Médicas de Minas Gerais...

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Main Authors: Trindade BLC, Coelho IB, Magalhães LL, Crepaldi LA, Man Fu FM, Da Glória LMR
Format: Article
Language:English
Published: Dove Medical Press 2025-02-01
Series:Clinical Ophthalmology
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Online Access:https://www.dovepress.com/cosmetic-therapeutic-keratopigmentation-peer-reviewed-fulltext-article-OPTH
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author Trindade BLC
Coelho IB
Magalhães LL
Crepaldi LA
Man Fu FM
Da Glória LMR
author_facet Trindade BLC
Coelho IB
Magalhães LL
Crepaldi LA
Man Fu FM
Da Glória LMR
author_sort Trindade BLC
collection DOAJ
description Bruno Lovaglio Cançado Trindade,1– 3 Isadora Brito Coelho,1 Larissa Lima Magalhães,1 Letícia Arriel Crepaldi,1,2 Frederico Moreira Man Fu,2 Luiza Machado Ribeiro Da Glória2 1Cornea Department, Instituto de Olhos Ciências Médicas, Belo Horizonte, Brazil; 2Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil; 3Cançado Trindade Eye Institute, Belo Horizonte, BrazilCorrespondence: Bruno Lovaglio Cançado Trindade, Cançado Trindade Eye Institute, Rua Manaus 595 – 30.150-350, Belo Horizonte, MG, Brazil, Email bruno.trindade@ioct.orgPurpose: To analyze indications safety and potential complications of cosmetic therapeutic corneal keratopigmentation to treat disfiguring aspect of opaque corneas.Methods: Eight eyes of 8 consecutive patients were enrolled in therapeutic corneal keratopigmentation. Surgery was performed using manual technique, and a two-plane corneal dissection was performed. In the deeper pocket, brown pigment was injected to mimic iris color. In the more superficial and smaller pocket, black pigment was used to simulate pupillary opening.Results: Seven out of 8 eyes had significant improvements in cosmesis after surgery. One patient did not have a major improvement due to significant superficial corneal neovascularization. In two eyes, there was pigment fading in the postoperative period, but no additional surgeries were performed. No complications were noted in any of the patients.Conclusion: Therapeutic corneal keratopigmentation can lead to a significant change in ocular appearance and may improve self-esteem and overall life quality. Pigment fading and corneal neovascularization can be a potential problem. Careful patient selection and counseling are important to avoid patients seeking unachievable results.Plain Language Summary: Blindness can lead to a disfiguring appearance caused by corneal opacification. In this study, we analyze the results of performing corneal tattoo to cover the “whiteish” aspect of the cornea and to restore a more natural look for the blind eye. This technique can be performed in eyes with opaque corneas requiring minimal additional surgical skills and can significantly improve patient’s self-esteem.Keywords: keratopigmentation, corneal opacity, corneal tattoo, blind eye
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publishDate 2025-02-01
publisher Dove Medical Press
record_format Article
series Clinical Ophthalmology
spelling doaj-art-22f84dcc021e46aeb5000eb3395ef26b2025-08-20T03:11:37ZengDove Medical PressClinical Ophthalmology1177-54832025-02-01Volume 19527534100146Cosmetic Therapeutic KeratopigmentationTrindade BLCCoelho IBMagalhães LLCrepaldi LAMan Fu FMDa Glória LMRBruno Lovaglio Cançado Trindade,1– 3 Isadora Brito Coelho,1 Larissa Lima Magalhães,1 Letícia Arriel Crepaldi,1,2 Frederico Moreira Man Fu,2 Luiza Machado Ribeiro Da Glória2 1Cornea Department, Instituto de Olhos Ciências Médicas, Belo Horizonte, Brazil; 2Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil; 3Cançado Trindade Eye Institute, Belo Horizonte, BrazilCorrespondence: Bruno Lovaglio Cançado Trindade, Cançado Trindade Eye Institute, Rua Manaus 595 – 30.150-350, Belo Horizonte, MG, Brazil, Email bruno.trindade@ioct.orgPurpose: To analyze indications safety and potential complications of cosmetic therapeutic corneal keratopigmentation to treat disfiguring aspect of opaque corneas.Methods: Eight eyes of 8 consecutive patients were enrolled in therapeutic corneal keratopigmentation. Surgery was performed using manual technique, and a two-plane corneal dissection was performed. In the deeper pocket, brown pigment was injected to mimic iris color. In the more superficial and smaller pocket, black pigment was used to simulate pupillary opening.Results: Seven out of 8 eyes had significant improvements in cosmesis after surgery. One patient did not have a major improvement due to significant superficial corneal neovascularization. In two eyes, there was pigment fading in the postoperative period, but no additional surgeries were performed. No complications were noted in any of the patients.Conclusion: Therapeutic corneal keratopigmentation can lead to a significant change in ocular appearance and may improve self-esteem and overall life quality. Pigment fading and corneal neovascularization can be a potential problem. Careful patient selection and counseling are important to avoid patients seeking unachievable results.Plain Language Summary: Blindness can lead to a disfiguring appearance caused by corneal opacification. In this study, we analyze the results of performing corneal tattoo to cover the “whiteish” aspect of the cornea and to restore a more natural look for the blind eye. This technique can be performed in eyes with opaque corneas requiring minimal additional surgical skills and can significantly improve patient’s self-esteem.Keywords: keratopigmentation, corneal opacity, corneal tattoo, blind eyehttps://www.dovepress.com/cosmetic-therapeutic-keratopigmentation-peer-reviewed-fulltext-article-OPTHkeratopigmentationcorneal opacitycorneal tattooblind eye.
spellingShingle Trindade BLC
Coelho IB
Magalhães LL
Crepaldi LA
Man Fu FM
Da Glória LMR
Cosmetic Therapeutic Keratopigmentation
Clinical Ophthalmology
keratopigmentation
corneal opacity
corneal tattoo
blind eye.
title Cosmetic Therapeutic Keratopigmentation
title_full Cosmetic Therapeutic Keratopigmentation
title_fullStr Cosmetic Therapeutic Keratopigmentation
title_full_unstemmed Cosmetic Therapeutic Keratopigmentation
title_short Cosmetic Therapeutic Keratopigmentation
title_sort cosmetic therapeutic keratopigmentation
topic keratopigmentation
corneal opacity
corneal tattoo
blind eye.
url https://www.dovepress.com/cosmetic-therapeutic-keratopigmentation-peer-reviewed-fulltext-article-OPTH
work_keys_str_mv AT trindadeblc cosmetictherapeutickeratopigmentation
AT coelhoib cosmetictherapeutickeratopigmentation
AT magalhaesll cosmetictherapeutickeratopigmentation
AT crepaldila cosmetictherapeutickeratopigmentation
AT manfufm cosmetictherapeutickeratopigmentation
AT daglorialmr cosmetictherapeutickeratopigmentation