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Corneal Tattooing

Also known as
Keratopigmentation.
Lamellar intrastromal corneal tattoo
Keratography

What is a Corneal Tattoo?
A Corneal Tattoo is a procedure which is performed by chemical reduction of metallic salts, gold chloride or platinum black, to either cover up an unsightly corneal scar or to mimick part or all the iris.

The metalic salts are place at a 50% depth into the cornea through a peripheral incision and blended to ensure it covers the area it needs to.

How common is this procedure?
This procedure is very rare, I have only heard of one case where a person with congenital aniridia had this procedure. This is because the procedure would have implications on the need for further eye surgery, such as glaucoma treatment or the development of aniridic Keratopathy. Therefore, if this procedure is used it is usually on an eye that has no vision at all. A team at the the Rotterdam Eye Hospital, successfully used this proceedure to reduce photophobia in a patient with traumatic aniridia.

References

Cornea tattooing case study (not aniridia)

Corneal tattooing by M. Ramchandani, S. Mohammed, A. Patwardhan, P. McDonnell, Birmingham and Midland Eye Centre

Lamellar intrastromal corneal tattoo for treating iris defects.
Burris TE, Holmes-Higgin DK, Silvestrini TA
Northwest Corneal Services, Portland, Oregon 97223, USA.

Keratopigmentation: a review of corneal tattooing.
Mannis MJ, Eghbali K, Schwab IR, Department of Ophthalmology, University of California-Davis, Sacramento 95817, USA.

Use of Keratopigmentation in a Traumatic Aniridia Patient. From the Cornea Service, the Rotterdam Eye Hospital, Rotterdam, The Netherlands.1997