Inadvertent corneal pigmentation following cosmetic blepharopigmentation

Purpose: To present a case of inadvertent corneal pigmentation as a complication of cosmetic eyelid tattooing. Observations: A 63 year old woman presented with left eye redness and irritation 3 days after undergoing permanent eyeliner tattooing of her upper and lower eyelids. On ocular examination a...

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Main Authors: Hila Goldberg, Yoav Berger, Iris Ben Bassat, Irina Barequet
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993618301531
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spelling doaj-e00648c105fc47ad88f49c5f1226f0672020-11-24T21:13:47ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362018-12-01125254Inadvertent corneal pigmentation following cosmetic blepharopigmentationHila Goldberg0Yoav Berger1Iris Ben Bassat2Irina Barequet3Corresponding author. Goldschleger Eye Institute, Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel. Tel.: +972 545886526.; Goldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine Tel Aviv University, Ramat Gan, IsraelGoldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine Tel Aviv University, Ramat Gan, IsraelGoldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine Tel Aviv University, Ramat Gan, IsraelGoldschleger Eye Institute, Sheba Medical Center, Sackler Faculty of Medicine Tel Aviv University, Ramat Gan, IsraelPurpose: To present a case of inadvertent corneal pigmentation as a complication of cosmetic eyelid tattooing. Observations: A 63 year old woman presented with left eye redness and irritation 3 days after undergoing permanent eyeliner tattooing of her upper and lower eyelids. On ocular examination a black pigmentation of the nasal cornea in her left eye was observed, with associated conjunctival injection. Initial slit lamp attempts of pigment removal were unsuccessful. A surgical attempt to scrape the pigment in the stroma was only partially successful due to the penetration of pigment particles in between stromal lamellae. Microanalysis spectroscopy was performed on a specimen of pigment taken from the eyelashes in order to attain the chemical properties of the material and assist with further therapeutic strategy. The analysis revealed an organic inert nature of the material (mostly carbon and oxygen) and ruled out presence of dangerous components such as copper and lead. Due to minimal inflammatory reaction and the non-central location of the corneal pigmentation, the patient remained under close observation, treated with lubrication and no further interventions, until complete resolution by 6 weeks. Conclusions and importance: While the procedure of cosmetic blepharopigmentation is considered relatively safe, it bares many possible complications, ranging from mild dermal irritation to vision-threatening conditions. Our case of inadvertent keratopigmentation demonstrates the potential dangers of this procedure, and the importance of medical supervision and intervention in cases of complications. Vision preservation in this case was enabled by the midperipheral location of the pigment penetration. Keywords: Blepharopigmentation, Eyeliner tattoo, Keratopigmentation, Permanent makeuphttp://www.sciencedirect.com/science/article/pii/S2451993618301531
collection DOAJ
language English
format Article
sources DOAJ
author Hila Goldberg
Yoav Berger
Iris Ben Bassat
Irina Barequet
spellingShingle Hila Goldberg
Yoav Berger
Iris Ben Bassat
Irina Barequet
Inadvertent corneal pigmentation following cosmetic blepharopigmentation
American Journal of Ophthalmology Case Reports
author_facet Hila Goldberg
Yoav Berger
Iris Ben Bassat
Irina Barequet
author_sort Hila Goldberg
title Inadvertent corneal pigmentation following cosmetic blepharopigmentation
title_short Inadvertent corneal pigmentation following cosmetic blepharopigmentation
title_full Inadvertent corneal pigmentation following cosmetic blepharopigmentation
title_fullStr Inadvertent corneal pigmentation following cosmetic blepharopigmentation
title_full_unstemmed Inadvertent corneal pigmentation following cosmetic blepharopigmentation
title_sort inadvertent corneal pigmentation following cosmetic blepharopigmentation
publisher Elsevier
series American Journal of Ophthalmology Case Reports
issn 2451-9936
publishDate 2018-12-01
description Purpose: To present a case of inadvertent corneal pigmentation as a complication of cosmetic eyelid tattooing. Observations: A 63 year old woman presented with left eye redness and irritation 3 days after undergoing permanent eyeliner tattooing of her upper and lower eyelids. On ocular examination a black pigmentation of the nasal cornea in her left eye was observed, with associated conjunctival injection. Initial slit lamp attempts of pigment removal were unsuccessful. A surgical attempt to scrape the pigment in the stroma was only partially successful due to the penetration of pigment particles in between stromal lamellae. Microanalysis spectroscopy was performed on a specimen of pigment taken from the eyelashes in order to attain the chemical properties of the material and assist with further therapeutic strategy. The analysis revealed an organic inert nature of the material (mostly carbon and oxygen) and ruled out presence of dangerous components such as copper and lead. Due to minimal inflammatory reaction and the non-central location of the corneal pigmentation, the patient remained under close observation, treated with lubrication and no further interventions, until complete resolution by 6 weeks. Conclusions and importance: While the procedure of cosmetic blepharopigmentation is considered relatively safe, it bares many possible complications, ranging from mild dermal irritation to vision-threatening conditions. Our case of inadvertent keratopigmentation demonstrates the potential dangers of this procedure, and the importance of medical supervision and intervention in cases of complications. Vision preservation in this case was enabled by the midperipheral location of the pigment penetration. Keywords: Blepharopigmentation, Eyeliner tattoo, Keratopigmentation, Permanent makeup
url http://www.sciencedirect.com/science/article/pii/S2451993618301531
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