Microkeratome-Assisted Corneal Tattooing: A Case Report

Purpose: 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 mm 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 safe, effective, and precise method of corneal tattooing.