Corneal lamelar transplantation associated with stromal tattooing for leukoma treatment: case report

• Published in: Arquivos brasileiros de oftalmologia Vol. 72; no. 2; pp. 247 - 250
• Main Authors: Berger, André, Perez, Márcia Ferrari, Pazos, Henrique Santiago Baltar, De Biase, Simone Grigoletto, Gomes, José Alvaro Pereira
• Format: Journal Article
• Language: Portuguese
• Published: Brazil 01-03-2009
• Subjects: Combined Modality Therapy; Corneal Opacity - surgery; Corneal Stroma; Corneal Transplantation; Humans; Male; Middle Aged; Tattooing; Treatment Outcome
• ISSN: 1678-2925
• DOI: 10.1590/S0004-27492009000200023

Stromal cornea tattooing has been used for esthetic treatment of corneal scars as leukoma and iris coloboma. The coloring agent can be applied through stromal micropuncture or associated with lamellar keratectomy or keratoplasty. We report a case of stromal tattooing associated with lamellar keratectomy in a patient's eye that had extensive leukoma and irregular corneal surface. Visual acuity in the operated eye was no light perception and the patient did not tolerate the use of cosmetic contact lens. Correction of divergent strabismus was also performed during the surgery. After one year follow-up, the ink is still impregnated in the corneal stroma, giving a good esthetic aspect. In conclusion, the technique of corneal tattooing associated with lamellar keratectomy is a good method for the cosmetic treatment of central leukoma with corneal irregularity.