Aims: To investigate keratopigmentation (KTP) with new mineral micronized pigments as a surgical alternative to improve cosmetic appearance in severely-impaired eyes.
Methods: 40 eyes underwent KTP alternatively to invasive cosmetic reconstructive surgery. Corneal staining with mineral micronized pigments was performed using either an intralamellar or superficial technique.
Results: One year postoperatively, all but two patients (95%) were satisfied. Pigmented eyes were improving patient's appearance. 8 cases needed a second KTP. 2 patients with preoperative corneal edema did not obtain an adequate cosmetic appearance due to progressive pigment clearance observed from 6 months postoperatively. 3 eyes with traumatic aniridia observed good cosmetic outcome and a significant reduction in glare.
Conclusion: KTP achieves good cosmetic results and is associated with high patient satisfaction, avoiding extensive and mutilating reconstructive surgery.