Skip to main content
Top
Published in: BMC Ophthalmology 1/2023

Open Access 01-12-2023 | Laser | Research

The safety and effectiveness of a novel annular keratopigmentation technique; a cross-sectional survey of patients

Authors: Munirah Alafaleq, Robert van Haselen, Francis Ferrari

Published in: BMC Ophthalmology | Issue 1/2023

Login to get access

Abstract

Purpose

We investigated safety aspects and other patient experiences related to a novel Femtosecond Laser Assisted Annular Keratopigmentation technique (FLAAK).

Setting

Espace Nouvelle Vision Clinic in Paris.

Methods

Monocentric, post-operative, cross-sectional survey of patients who returned to the clinic for a color correction after the FLAAK procedure. Whilst waiting for their color retouch, consenting patients completed a questionnaire about their experiences following the FLAAK procedure. Aspects related to side-effects or discomfort as well as patient satisfaction were assessed.

Results

The questionnaire was completed by 42 of 51 patients returning to the clinic for a color retouch (27 females, 15 males; mean age 37.6 years). Pain was experienced by 34 (81%) patients, dry eyes by 32 (76%) patients, glare by 23 (56%) patients, red eyes by 28 (67%) patients, and tingling by 30 (71%) patients; no patient experienced visual halos. All experienced post-operative symptoms were of a transient nature. Symptoms like pain, tingling, glare and red eyes disappear in less than 48 h after surgery in approximately 50% of the cases, and ocular dryness in 22% of cases., The median duration of these symptoms in patients for whom the symptoms were still present after 48 h, is 7 days. Patient satisfaction with the aesthetical result (scale ranging from 0 to 10) was on average 8,1 (SD 1,6).

Conclusion

The FLAAK procedure performed for purely aesthetic purposes appears to be safe and is associated with high patient satisfaction.
Literature
1.
go back to reference George MK, Tsai JC, Loewen NA. Bilateral irreversible severe vision loss from cosmetic iris implants. Am J Ophthalmol. 2011;151:872–875e1.CrossRefPubMed George MK, Tsai JC, Loewen NA. Bilateral irreversible severe vision loss from cosmetic iris implants. Am J Ophthalmol. 2011;151:872–875e1.CrossRefPubMed
2.
go back to reference Ferrari F. Case report of an iris perforation after YAG laser iris depigmentation for aesthetic reasons]. J Fr Ophtalmol. 2021;44:e283–5.CrossRefPubMed Ferrari F. Case report of an iris perforation after YAG laser iris depigmentation for aesthetic reasons]. J Fr Ophtalmol. 2021;44:e283–5.CrossRefPubMed
3.
go back to reference Ning Brigid, Baboolal S, Gizzi C, Nolan W. A Case of Secondary Pigment Dispersion Following Laser to Cosmetically Lighten the Irises. J Glaucoma. 2022 Feb 1;31(2):133–135. Ning Brigid, Baboolal S, Gizzi C, Nolan W. A Case of Secondary Pigment Dispersion Following Laser to Cosmetically Lighten the Irises. J Glaucoma. 2022 Feb 1;31(2):133–135.
4.
go back to reference Swampillai AJ, Sherman T, Garg A, Tan IJ, Lim KS. Secondary pigmentary glaucoma following cosmetic laser treatment to alter iris colour. Cont Lens Anterior Eye. 2023 Apr;46(2):101754. Swampillai AJ, Sherman T, Garg A, Tan IJ, Lim KS. Secondary pigmentary glaucoma following cosmetic laser treatment to alter iris colour. Cont Lens Anterior Eye. 2023 Apr;46(2):101754.
5.
go back to reference Flores-Márquez A, Moreno-Gutiérrez J, Chinchurreta-Capote A, García-Martín F, Rocha-de-Lossada C. Laser-induced maculopathy after iris depigmentation cosmetic treatment. Can J Ophthalmol. 2023 Feb;58(1):e29–e31. Flores-Márquez A, Moreno-Gutiérrez J, Chinchurreta-Capote A, García-Martín F, Rocha-de-Lossada C. Laser-induced maculopathy after iris depigmentation cosmetic treatment. Can J Ophthalmol. 2023 Feb;58(1):e29–e31.
6.
go back to reference Alió JL, Rodriguez AE, Toffaha BT, Piñero DP, Moreno LJ. Femtosecond-assisted keratopigmentation for functional and cosmetic restoration in essential iris atrophy. J Cataract Refract Surg. 2011;37:1744–7.CrossRefPubMed Alió JL, Rodriguez AE, Toffaha BT, Piñero DP, Moreno LJ. Femtosecond-assisted keratopigmentation for functional and cosmetic restoration in essential iris atrophy. J Cataract Refract Surg. 2011;37:1744–7.CrossRefPubMed
7.
go back to reference Ferrari F, Morin L. [Description of a new method of changing eye color: case report of aesthetic annular keratopigmentation (AAK)]. J Fr Ophtalmol. 2015;38:e3.CrossRefPubMed Ferrari F, Morin L. [Description of a new method of changing eye color: case report of aesthetic annular keratopigmentation (AAK)]. J Fr Ophtalmol. 2015;38:e3.CrossRefPubMed
9.
go back to reference Alio JL, Rodriguez AE, Toffaha BT. Keratopigmentation (corneal tattooing) for the management of visual disabilities of the eye related to iris defects. Br J Ophthalmol. 2011;95:1397–401.CrossRefPubMed Alio JL, Rodriguez AE, Toffaha BT. Keratopigmentation (corneal tattooing) for the management of visual disabilities of the eye related to iris defects. Br J Ophthalmol. 2011;95:1397–401.CrossRefPubMed
10.
go back to reference Hirsbein D, Gardea E, Brasseur G, Muraine M. [Corneal tattooing for iris defects]. J Fr Ophtalmol. 2008;31:155–64.CrossRefPubMed Hirsbein D, Gardea E, Brasseur G, Muraine M. [Corneal tattooing for iris defects]. J Fr Ophtalmol. 2008;31:155–64.CrossRefPubMed
12.
go back to reference Pitz S, Jahn R, Frisch L, Duis A, Pfeiffer N. Corneal tattooing: an alternative treatment for disfiguring corneal scars. Br J Ophthalmol. 2002;86:397–9.CrossRefPubMedPubMedCentral Pitz S, Jahn R, Frisch L, Duis A, Pfeiffer N. Corneal tattooing: an alternative treatment for disfiguring corneal scars. Br J Ophthalmol. 2002;86:397–9.CrossRefPubMedPubMedCentral
13.
go back to reference Kymionis GD, Ide T, Galor A, Yoo SH. Femtosecond-assisted anterior lamellar corneal staining-tattooing in a blind eye with leukocoria. Cornea. 2009;28:211–3.CrossRefPubMed Kymionis GD, Ide T, Galor A, Yoo SH. Femtosecond-assisted anterior lamellar corneal staining-tattooing in a blind eye with leukocoria. Cornea. 2009;28:211–3.CrossRefPubMed
14.
go back to reference Laria C, Alió JL, Piñero DN. Intrastromal corneal tattooing as treatment in a case of intractable strabismic diplopia (double binocular vision). Binocul Vis Strabismus Q. 2010;25:238–42.PubMed Laria C, Alió JL, Piñero DN. Intrastromal corneal tattooing as treatment in a case of intractable strabismic diplopia (double binocular vision). Binocul Vis Strabismus Q. 2010;25:238–42.PubMed
15.
go back to reference Alio JL, Rodriguez AE, Toffaha BT, El Aswad A. Femtosecond-assisted keratopigmentation double tunnel technique in the management of a case of Urrets-Zavalia syndrome. Cornea. 2012;31:1071–4.CrossRefPubMed Alio JL, Rodriguez AE, Toffaha BT, El Aswad A. Femtosecond-assisted keratopigmentation double tunnel technique in the management of a case of Urrets-Zavalia syndrome. Cornea. 2012;31:1071–4.CrossRefPubMed
16.
go back to reference D’Oria F, Alio JL, Rodriguez AE, Amesty MA, Abu-Mustafa SK. Cosmetic Keratopigmentation in sighted eyes: medium- and long-term clinical evaluation. Cornea. 2021;40:327–33.CrossRefPubMed D’Oria F, Alio JL, Rodriguez AE, Amesty MA, Abu-Mustafa SK. Cosmetic Keratopigmentation in sighted eyes: medium- and long-term clinical evaluation. Cornea. 2021;40:327–33.CrossRefPubMed
17.
go back to reference Ferrari F, van Haselen R. The Safety and Effectiveness of a Novel Annular Keratopigmentation Method: a Case Report. Case Rep Ophthalmol. 2018;9:35–42.CrossRefPubMedPubMedCentral Ferrari F, van Haselen R. The Safety and Effectiveness of a Novel Annular Keratopigmentation Method: a Case Report. Case Rep Ophthalmol. 2018;9:35–42.CrossRefPubMedPubMedCentral
18.
go back to reference Burk SE, et al. Prosthetic iris implantation for congenital, traumatic, or functional iris deficiencies. J Cataract Refract Surg. 2001;27:1732–40.CrossRefPubMed Burk SE, et al. Prosthetic iris implantation for congenital, traumatic, or functional iris deficiencies. J Cataract Refract Surg. 2001;27:1732–40.CrossRefPubMed
19.
go back to reference Yildirim Y, et al. Evaluation of Color-Changing effect and complications after nd: YAG Laser Application on Iris Surface. Med Sci Monit. 2016;22:107–14.CrossRefPubMedPubMedCentral Yildirim Y, et al. Evaluation of Color-Changing effect and complications after nd: YAG Laser Application on Iris Surface. Med Sci Monit. 2016;22:107–14.CrossRefPubMedPubMedCentral
20.
go back to reference Anderson JE, Grippo TM, Sbeity Z, Ritch R. Serious complications of cosmetic NewColorIris implantation. Acta Ophthalmol. 2010;88:700–4.CrossRefPubMed Anderson JE, Grippo TM, Sbeity Z, Ritch R. Serious complications of cosmetic NewColorIris implantation. Acta Ophthalmol. 2010;88:700–4.CrossRefPubMed
21.
go back to reference Ali MH, Traish AS. Elevated intraocular pressure and endothelial cell loss following Iris Color Change. JAMA Ophthalmol. 2016;134:939–40.CrossRefPubMed Ali MH, Traish AS. Elevated intraocular pressure and endothelial cell loss following Iris Color Change. JAMA Ophthalmol. 2016;134:939–40.CrossRefPubMed
22.
go back to reference Arthur SN, Wright MM, Kramarevsky N, Kaufman SC, Grajewski AL. Uveitis-glaucoma-hyphema syndrome and corneal decompensation in association with cosmetic iris implants. Am J Ophthalmol. 2009;148:790–3.CrossRefPubMed Arthur SN, Wright MM, Kramarevsky N, Kaufman SC, Grajewski AL. Uveitis-glaucoma-hyphema syndrome and corneal decompensation in association with cosmetic iris implants. Am J Ophthalmol. 2009;148:790–3.CrossRefPubMed
23.
go back to reference Amesty MA, Rodriguez AE, Hernández E, De Miguel MP, Aliò JL. Tolerance of Micronized Mineral Pigments for Intrastromal Keratopigmentation: a histopathology and immunopathology experimental study. Cornea. 2016;35:1199–205.CrossRefPubMed Amesty MA, Rodriguez AE, Hernández E, De Miguel MP, Aliò JL. Tolerance of Micronized Mineral Pigments for Intrastromal Keratopigmentation: a histopathology and immunopathology experimental study. Cornea. 2016;35:1199–205.CrossRefPubMed
Metadata
Title
The safety and effectiveness of a novel annular keratopigmentation technique; a cross-sectional survey of patients
Authors
Munirah Alafaleq
Robert van Haselen
Francis Ferrari
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Laser
Published in
BMC Ophthalmology / Issue 1/2023
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-023-02911-7

Other articles of this Issue 1/2023

BMC Ophthalmology 1/2023 Go to the issue