Corneal Tattooing in a case of Leucoma with good vision
Case presentation: A 14-year-old girl presented to our hospital for cosmetic correction of white scar in the right eye. She had right eye infective keratitis at the age of 2 years which ultimately healed in adherent leucoma (corneal opacity) slightly away from the visual axis. On examination, it was found that left eye has hypermetropic amblyopia and vision was not improving with glasses. BCVA for both eyes was 6/24. Contact lens option was given but parents did not want to go for the cosmetic contact lens. Penetrating keratoplasty has its own problems such as graft rejection, chances of appearance of wound edge, and vision was also good enough, so we suggested her treatment of corneal tattooing. Parents also had some idea of tattooing and insisted for it so finally with their consent, corneal tattooing was performed in the right eye.
Method: Lamellar dissection in and slightly around leucoma was done by creating the corneal pocket. Then dye (sourced from Mahatme Hospital, Aurangabad) was injected into the pocket. It was a suture-less procedure, bandage contact lens was applied. Utmost Precaution was taken during dissection so that anterior chamber is not entered as it may create an inflammatory reaction.
Follow up: After 1 week, postoperative follow-up bandage lens was removed. Healing was good. Her BCVA was unchanged (6/24).Preoperative and Post -Operative clinical images are attached.