Femtosecond laser-assisted keratopigmentation is a safe and effective cosmetic procedure that does not significantly affect visual acuity, intraocular pressure, or visual fields, according to a study.
The prospective analysis included 166 eyes treated between 2021 and 2023 by a single expert surgeon.
Researchers compared preoperative and postoperative data on visual acuity, refraction, intraocular pressure, light sensitivity, endothelial cell count, visual field, and aberrations. At the 12-month follow-up, no significant changes were found in visual acuity, intraocular pressure, or visual field. Although contrast sensitivity declined under certain conditions and endothelial cell count showed a slight decrease, these remained within normal limits.
The findings suggest that keratopigmentation is a safe and effective option for cosmetic eye enhancement, though patients should be informed about potential minor reductions in contrast sensitivity and endothelial cell density.
Reference
Alio J, Sanginabadi A, Hojabr AT, et al. Femtosecond laser-assisted keratopigmentation outcomes for pure cosmetic purposes. Am J Ophthalmol Case Rep. 2025;38:102297. doi: 10.1016/j.ajoc.2025.102297. PMID: 40151591; PMCID: PMC11946494.
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