Severe Corneal Ulceration After Cosmetic Keratopigmentation.

PURPOSE: Keratopigmentation is a well-described procedure often used to address corneal opacities. Purely cosmetic keratopigmentation, in the absence of underlying corneal pathology has increased in popularity recently, with the intention of changing eye color appearance. In the context of this increased popularity, public knowledge and data regarding the risks of this procedure are lacking.

METHODS

This study is a case report conducted at a single academic institution.

RESULTS

Here we present a case of a patient who underwent purely cosmetic keratopigmentation and who developed severe corneal ulceration as a sequela. We outline the clinical course and management of this ulceration, which ultimately resolved with amniotic membrane grafting as well as oral and topical steroids.

CONCLUSIONS

This case serves as an important illustration of the risks that may be associated with purely cosmetic keratopigmentation.