97th DOG Annual Meeting 1999
KERATOGRAPHY IN CORNEAL LEUKOMA
V. Klauss, E. M. van der Velden, B. Drost, S. Weede, U. Schaller
Keratography represents a treatmant method to introduce natural pigments into the cornea with a special tatoo needle. In cases of corneal leukoma or aniridia iris and pupil can be cosmetically reconstructed. In cases of additional squint the pupil can be adjusted or squint surgery may follow. In the past many attemps have been made to tatoo the cornea but results were not satisfactory.
Patients: Between November 1997 and February 1999 20 patients were treated. The age ranged from 7 to 75 years. The indication was seen in blind eyes with leukoma corneae and intolerance of a contact lens or a prosthesis. Penetrating injuries, contusions, chemical burns, infections and previous surgery were the causes of leucoma. Patients were treated on an outpatient basis, all adults under topical anesthesia.
Results: 6 patients were treated once, 4 twice and 9 threetimes. In one patient treatment has not been completed. 2 patients were treated by strabismus surgery after keratography. Posttreatment patients receive a bandage contact lens, non steroidal antiphlogistic eye drops and antibiotic eye drops for one week. One third of patients complained of photophobia and pain during the first days after treatment to a maximum of 2 weeks.
Outpatients were highly satisfied with the cosmetic result of the treatment and mainly observed a different reaction of other persons to their appearance. Long term results need to be evaluated. Results up to 18 months posttreatment are highly satisfactory.
University Eye Hospital, Mathildenstr. 8, D-80336 Munich