April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Confocal Microscopy Study After Keratopigmentation
Author Affiliations & Notes
  • Omar Rayward
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Maria Teresa Iradier
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Jose Manuel Benitez del Castillo
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Ricardo Cuiña Sardiña
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Juan Velez Espinosa
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Maria Luisa Sánchez Pulgarín
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • David Diaz Valle
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Julian García Feijoo
    Ophthalmology, Hospital Clinico San Carlos, Madrid, Madrid, Spain
  • Footnotes
    Commercial Relationships  Omar Rayward, None; Maria Teresa Iradier, None; Jose Manuel Benitez del Castillo, None; Ricardo Cuiña Sardiña, None; Juan Velez Espinosa, None; Maria Luisa Sánchez Pulgarín, None; David Diaz Valle, None; Julian García Feijoo, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 4206. doi:https://doi.org/
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Omar Rayward, Maria Teresa Iradier, Jose Manuel Benitez del Castillo, Ricardo Cuiña Sardiña, Juan Velez Espinosa, Maria Luisa Sánchez Pulgarín, David Diaz Valle, Julian García Feijoo; Confocal Microscopy Study After Keratopigmentation. Invest. Ophthalmol. Vis. Sci. 2011;52(14):4206. doi: https://doi.org/.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose: : To report the confocal microscopy findings after keratopigmentation (KTP) in 5 patients with corneal opacity or leukocoria and to study the patient's cosmetic subjective-satisfaction after this intervention.

Methods: : A retrospective study including 5 eyes in 5 patients with corneal opacities or leukocoria and less than 20/400 visual acuity underwent keratopigmentation (KTP) for cosmetic purposes. Ink was injected to the patient's cornea with a 30 G needle. During the intervention the patients were under sub-Tenon's anesthesia. After the intervention the patients were examined by confocal in vivo laser scanning microscopy at 6 months post-op. At 6 months post-op the patient's cosmetic subjective-satisfaction was measured with a visual analogue scale. Intra-op and post-op complications were recorded.

Results: : The confocal microscopy study revealed that after KTP, the ink introduced in the cornea is located in the anterior and middle stroma surrounding the stromal keratocytes. Basal epithelial cells appeared hyperreflective. Patient's cosmetic subjective-satisfaction at 6 months post-op was 9.2/10 (x SD). All the patients (5/5) would repeat the surgical intervention. One patient had a partial epithelial defect that healed 15 days after the surgery using a cosmetic contact lens.

Conclusions: : KTP in patients with corneal opacities or leukocoria and very low vision has proved to be a safe surgical procedure with great patient cosmetic subjective-satisfaction. Confocal in vivo laser scanning microscopy has helped us to understand that after KTP the ink remains in the anterior stroma surrounding the stromal keratocytes.

Keywords: cornea: stroma and keratocytes • microscopy: confocal/tunneling • cornea: storage 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×