Park Jin Hyoung, Um Taewoong, Kim Myoung Joon, Tchah Hungwon, Kim Jae Yong
Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, Korea.
Int J Ophthalmol. 2015 Oct 18;8(5):928-32. doi: 10.3980/j.issn.2222-3959.2015.05.13. eCollection 2015.
To assess the safety and cosmetic efficacy of a new multiple noncontinuous transepithelial puncture technique for tattooing a decompensated cornea.
It was a non-comparative clinical case series study. The study examines 33 eyes in 33 patients with total corneal opacity due to corneal decompensation, which developed following intraocular surgery. Corneal tattooing was performed using the multiple noncontinuous transepithelial puncture technique (i.e. pointage). The safety of this new surgical strategy was assessed by occurrence of adverse events for the follow-up period. The cosmetic efficacy was determined by the patient's cosmetic satisfaction and independent observer's opinion about patient appearance.
Seven women and 26 men were included in the study. The mean age was 46.4±17.5y (range: 7-67). In total, 30 of 33 patients (91%) reported cosmetic satisfaction within the follow-up period. Only 3 patients (9%) required additional tattooing due to cosmetic unsatisfaction. Cosmetic outcomes were analyzed and classified as excellent or good in 13 (39%) and 17 (52%) patients, respectively. No serious adverse events developed, except delayed epithelial healing in 3 cases.
The cosmetic outcomes of the multiple noncontinuous transepithelial puncture technique for corneal tattooing were good. The safety of this method is higher than conventional procedures. This new procedure also provides improved cost-effectiveness and safety over current corneal tattooing techniques.
评估一种用于对失代偿角膜进行纹身的新型非连续经上皮穿刺技术的安全性和美容效果。
这是一项非对照临床病例系列研究。该研究检查了33例因眼内手术后发生角膜失代偿而导致全角膜混浊的患者的33只眼睛。使用非连续经上皮穿刺技术（即点状纹身法）进行角膜纹身。通过随访期间不良事件的发生情况评估这种新手术策略的安全性。美容效果由患者的美容满意度和独立观察者对患者外观的评价来确定。
研究纳入了7名女性和26名男性。平均年龄为46.4±17.5岁（范围：7 - 67岁）。在随访期间，33例患者中有30例（91%）表示对美容效果满意。只有3例患者（9%）因美容效果不满意需要再次纹身。分别对13例（39%）和17例（52%）患者的美容效果进行分析并分类为优秀或良好。除3例出现上皮愈合延迟外，未发生严重不良事件。
非连续经上皮穿刺技术用于角膜纹身的美容效果良好。该方法的安全性高于传统方法。与目前的角膜纹身技术相比，这种新方法还具有更高的成本效益和安全性。
