The Safety and Effectiveness of a Novel Annular Keratopigmentation Method: A Case Report

Ferrari, F; Haselen, Robbert van

doi:10.1159/000485554

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…Purely aesthetic FAK has proven its safety and good aesthetic results. 15,18,19 Concerning long term complications, in our 8 years of experience, we have not seen any corneal decompensation or intrastromal pigment dispersion, the pigment being maintained in the intrastromal tunnels created with the femtosecond laser.…”

Section: Discussionmentioning

confidence: 72%

“…Ferrari described the FAK technique and used it for the first time in normal eyes for purely aesthetic reasons. 18 Further studies showed the safety and effectiveness of purely aesthetic keratopigmentation. 16,19 FAK achieved good cosmetic results and is associated with high patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…18 Further studies showed the safety and effectiveness of purely aesthetic keratopigmentation. 16,19 FAK achieved good cosmetic results and is associated with high patient satisfaction. 20 The feasibility of performing clinical examination and multimodal imaging after purely aesthetic FAK procedure has never been discussed.…”

Section: Introductionmentioning

confidence: 99%

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Femtosecond assisted keratopigmentation (FAK) with a 5-millimeter diameter aperture does not affect ocular examination

Alafaleq

Garrido²,

Ferrari³

2023

European Journal of Ophthalmology

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Aim to assess the feasibility of performing a screening of ocular pathologies after Femtosecond laser Assisted Keratopigmentation (FAK) procedure in normal eyes with the aid of multimodal imaging technologies. Design A Retrospective cohort study. Participants Thirty consecutive international patients (60 eyes) who underwent FAK for purely aesthetic reasons were chosen for this study. Methods Data from medical records of 30 consecutive patients were retrieved after performing tests 6 months after surgery. Clinical examinations were performed by three ophthalmologists. Main outcome measures The main purpose of this study was to see if routine examinations are feasible in patients operated on by the FAK and if the results can be interpreted as easily as in non-operated patients. Results Sixty eyes of thirty consecutive patients that underwent a screening of ocular pathologies at 6 months post FAK were included. 60% were female and 40% were males. Mean age was 36 years +/− 12 years. Screening of ocular pathologies using multimodal imaging tests or clinical examination was performed without any difficulties in acquisition or interpretation in 100% of patients (n = 30) except the endothelial cell count of the corneal periphery which was not possible. The direct examination of the iris periphery was possible at the slit lamp through the translucid pigment. Conclusions The screening of ocular pathologies after purely aesthetic FAK surgery is feasible, except for pathologies of the peripheral posterior cornea.

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

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Femtosecond assisted keratopigmentation (FAK) with a 5-millimeter diameter aperture does not affect ocular examination

Alafaleq

Garrido²,

Ferrari³

2023

European Journal of Ophthalmology

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“…This technique has been reported to be more precise, safer, and easier to perform, based on the tunnel formation and good wound healing, (11) and it is well tolerated by patients (22). However, some limitations have also been reported for FAK (23). First of all, it is necessary that there be no corneal damage and no retinal abnormalities because suction may worsen corneal integrity and can cause peripheral retinal holes or tears.…”

Section: Discussionmentioning

confidence: 99%

Keratopigmentation: Is it a miracle or an adventure?

Karslıoğlu¹

2020

Beyoglu Eye J

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This study is an analysis of the cosmetic and functional results of patients who underwent keratopigmentation (KTP). Methods: Sixteen eyes of 16 patients, 7 females (43.75%) and 9 males (56.25%) were included in the study. Intrastromal and superficial manual KTP were performed under general anesthesia. Patients with no light perception or with only light perception but total corneal opacification, prosthetic contact lens intolerance, or unwillingness to use a contact lens were studied. The main outcomes were postoperative patient's satisfaction, cosmetic results, pigment stabilization and surgical complications. A grading system (0-5 points) was used to assess patient satisfaction and the cosmetic results. Results: The mean age of the patients was 30.5±12.06 years (range: 16-53 years). Black pigment was used in 10 patients (62.5%), a brownish color in 5 patients (31.25%) and a greenish, yellow, blue, and black color pigmentation was used for 1 patient (6.25%). The mean follow-up was 29.31±15.45 months (range: 8-52 months). In 2 of 16 patients, mild to moderate pigment loss was seen 12 months after the surgery and superficial KTP was repeated. Minimal pigment loss was seen in 5 patients, but the cosmetic results were satisfactory and no secondary surgical procedure was required. Pigment leakage underneath the conjunctiva was seen in only 1 patient. Otherwise, there were no complications associated with keratopigmentation. The postoperative mean patient satisfaction score was 4.18±0.75 points (range: 3-5 points). Conclusion: KTP is a safe surgical procedure that is easy to learn and perform, does not require expensive materials, and avoids more extensive and invasive reconstructive ocular procedures. Corneal KTP may have a great impact on future ophthalmic surgical practice from both therapeutic and cosmetic perspectives.

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“…We previously reported on the safety and effectiveness of a novel esthetic keratopigmentation method in a clinical case report [ 17 ]. This technique consists first of creating an intrastromal annular tunnel with a femtosecond laser, and then the dissection is made with a special round spatula followed up by the insertion of a micronized mineral pigment (Biotic Phocéa, Marseille, France).…”

Section: Introductionmentioning

confidence: 99%

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

Alafaleq

Haselen²,

Ferrari³

2023

BMC Ophthalmol

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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.

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The Safety and Effectiveness of a Novel Annular Keratopigmentation Method: A Case Report

Cited by 5 publications

References 10 publications

Femtosecond assisted keratopigmentation (FAK) with a 5-millimeter diameter aperture does not affect ocular examination

Femtosecond assisted keratopigmentation (FAK) with a 5-millimeter diameter aperture does not affect ocular examination

Keratopigmentation: Is it a miracle or an adventure?

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

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