Microkeratome-assisted corneal tattooing: a case report.
OBJECTIVE
The purpose of this study was to report a new technique of microkeratome-assisted corneal tattooing for cosmetic improvement in a young female patient with adherent leucoma.


METHODS
The para-axial adherent leucoma had resulted from penetrating corneal injury sustained at the age of 2 years. A nasal hinged partial corneal flap of 140 μm thickness was raised using the microkeratome. The flap extended to just beyond the medial margin of the leucoma. Organic dye powder was spread on the stromal bed over the leucomatous scar as well as on the undersurface of the corneal flap corresponding to the area of opacity. The flap was then repositioned and a bandage contact lens placed.


RESULTS
The staining dye powder completely concealed the leucomatous opacity with good cosmesis and patient satisfaction. Corneal topography and best-corrected visual acuity remained unchanged at last follow up of 9 months.


CONCLUSIONS
Microkeratome-assisted corneal tattooing appears to be a safe, effective, and precise method of corneal tattooing.
Fogla
Rajesh
R
Cornea Clinic, Apollo Hospitals, Jubilee Hills, Hyderabad, India. dr_fogla@yahoo.com
Gupta
Arvind
A
Indumathy
T R
TR
D065306:Corneal Injuries; D003318:Corneal Opacity / Q000209:etiology / Q000601:surgery*; D003357:Cosmetic Techniques; D005131:Eye Injuries / Q000150:complications; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000295:instrumentation; D017060:Patient Satisfaction; D013524:Surgical Flaps; D013653:Tattooing / Q000379:methods*; D055815:Young Adult