View 2019 Abstracts

To report the outcomes and complications observed in a consecutive series of 234 cases treated with keratopigmentation (KTP).

KTP was performed in 234 eyes of 204 patients for therapeutic and cosmetic reasons, as an alternative to ocular prosthesis/evisceration/enucleation. The cosmetic appearance was satisfactory in 95% of the cases. From them, only 29 patients suffered complications. Different KTP techniques and three generations of pigments (GP) were used. The superficial and intrastromal techniques (assisted or not with femtosecond) were performed. Light sensitivity (LS), visual field (VF) limitations and MRI alterations were considered functional complications. Organic complications were described as change in colour, colour fading and neovascularisation.

The percentage of complications was 12.82%. Most patients complained of postoperative LS (49%), then colour fading and change in colour (19%). Neovascularisation, VF limitations and MRI complications constituted 7%, 4% and 2%, respectively. Organic complications were observed with the previous GP but resolved with the latest third GP with CE mark certification (Conformité Européene).

To the best of our knowledge this is the first time a study systematically approaches and reports KTP complications. KTP with third GP provides better results and fewer complications than previous ones. Therefore dermatological pigments should not be used for the eye. KTP is a modern, minimally invasive technique that helps solve several functional ocular problems and improves cosmetic appearance of the patients. This procedure could avoid more mutilating procedures such as evisceration and enucleation.