Table 1.
Cosmetic KTP.
No. | Authors | Number of eyes | Method of KTP | Type of pigment material | Outcomes and follow-up time |
---|---|---|---|---|---|
1 | Alio et al. [36] | 234 eyes | SAK, FAK, MIK | First GP, second GP and third generation CE mark pigments | 12.82% of patients complained of surgical complication (45% organic and 55% functional complications) within 4 months to 13 years FU |
2 | Ferrari and van Haselenase [52] | 1 healthy subject | Femtosecond-assisted annular KTP | Pigment neoris®-Biotic | No complications in 8 months FU |
3 | Alsmman et al. [53] | 53 blind eyes with corneal disfiguring opacities | Multiple trans-epithelial intrastromal injections | Rotring painting ink | No complications in 12 months FU |
4 | Al-Shymali et al. [39] | 127 cosmetically disabled eyes out of entire 136 eyes | SMK and SAK | First GP, second GP and third generation CE mark pigments | No complications reported up to 3 months, 12 eyes (11.2%) developed complications in more than 3 months FU |
5 | Jacob et al. [54] | 3 eyes | (SMILE)-assisted sutureless corneal resurfacing with interface tattooing | Dye powder | No complications in 12–25 months FU |
6 | Lin et al. [40] | 40 eyes | Anterior stromal puncture | Chinese ink | 3 of 31 patients had recurrent bullae formation and received conjunctival flaps or a TSCL to relieve symptoms in 26.4 months FU |
7 | Bandivadekar et al. [21] | 3 eyes | Bare corneal bed tattooing along with simple shave excision | 2% Gold chloride, reduced by 1% hydrazine hydrate | No complications in 12 months FU |
8 | Alio et al. [41] | 7 patients for purely cosmetic reasons | SAK, MIK, FAK | Micronized mineral pigments | No complications in 6–30 months FU |
9 | Liu et al. [55] | 32 eyes | LK combined with KTP(22 patients) single-personalised KTP (10 patients) | India ink | No complications in 36 months FU |
10 | Park et al. [42] | 33 eyes with total corneal opacity | Multiple non-continuous trans-epithelial puncture technique (pointage technique) | Black carbon particle suspension dye | 9% developed delayed corneal epithelial healing in 12 months FU |
11 | Hos et al. [25] | 6 eyes | Large lamellar limbus-to-limbus flap-based corneal tattooing and small central flap-based corneal tattooing | Liquid tattooing dyes | No complications in 1 year FU |
12 | Irfan et al. [9] | 44 blind eye | Deeply stromal staining by a black precipitate agent | 2% Gold chloride, reduced by 2% hydrazine hydrate | Minimal pigment loss was observed in 5 cases after 3 months and they underwent repeat procedure after 1 year FU |
13 | Cha et al. [56] | 9 eyes with limbal dermoids | Inserting dye into the anterior stromal space by creating a long puncture canal | Tissue-marking dye | No complications noted during 3 years FU |
14 | Jeong et al. [24] | 6 eyes with total leukoma | Anterior stromal space filling, created by air bubble infiltration | Tissue-marking dye | No complications during surgery and in 14 months FU |
15 | Kim et al. [34] | 147 blind eyes | Anterior stroma needle puncturing | Tissue-marking dye | Re-opacification or increased opacity (n = 7), fading of colour (n = 5), epithelial growth (n = 5) in 5 years FU |
16 | Alio et al. [35] | 37 out of total 40 eyes with disfiguring corneal opacities or severe leukoma | ICS (28 patients), SCS (8 patients), combined ICS and SCS (4 patients) in total patients | Mineral micronized pigments | No complications noted in 12 months FU |
17 | Chang et al. [57] | 401 patients with corneal opacities | Repetitive anterior stromal injection | Tissue-marking dye | No complication noted except two patients had a residual corneal opacity in 15.7 months FU |
18 | Fogla et al. [58] | 1 patient with poor cosmetic appearance | Inside the stromal bed over the area of corneal opacity and beneath the flap, overlying the stromal opacity with the help of an iris spatula | Dye powder (organic dye) | No complications during 9 months FU |
19 | Kim et al. [23] | 6 eyes with total or partial corneal opacity | Femtosecond laser for dissection and flap creation | Tissue-marking dye | No complications except an incomplete lamellar cut within 6–16 months of FU |
20 | Kymionis et al. [26] | 1 subject with leukocoria | FALT | Commercially available black tattoo pigment | No complications during 6 months FU |
21 | Lee et al. [59] | 3 cases with corneal opacities | Ink injection beneath the amniotic membrane transplantation | India Ink Reagent Dropper | No complications in 15–20 months FU |
22 | Pitz et al. [3] | 11 patients who were not consent for enucleation | Anterior stromal needle puncturing | Commercially available drawing ink | All patients complained about a surgically induced moderate foreign body sensation, conjunctival redness and corneal epithelial defect in 4 years of FU |
SAK superficial automated keratopigmentation, FAK femtosecond-assisted keratopigmentation, MIK manual intralamellar keratopigmentation, GP generations of pigments, SMK superficial manual keratopigmentation, SMILE small-incision lenticule extraction, TSCL therapeutic soft contact lens, LK lamellar keratoplasty, ICS intralamellar corneal staining, SCS superficial corneal staining, FALT femtosecond-assisted anterior lamellar corneal tattoo, FU follow-up