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Severe Conjunctival Reaction Following Attempted Corneal Tattooing

Sayali Pradhan, MD, FICO1; Manoranjan Das, MD1; Arun Kumar Panigrahi, MD1; N. Venkatesh Prajna, MD, FRCS1
[+] Author Affiliations
1Cornea Services, Aravind Eye Hospital, Madurai, India
JAMA Ophthalmol. 2015;133(7):854-856. doi:10.1001/jamaophthalmol.2015.0934.
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Corneal tattooing is considered to be a simple and safe outpatient procedure for unsightly leukomatous opacities. Very rarely, serious untoward complications may occur and may warrant additional medical and surgical management. We report a case of severe chemical injury following corneal tattooing and describe our strategy to treat it.

Article InformationCorresponding Author: N. Venkatesh Prajna, MD, FRCS, Cornea Services, Aravind Eye Hospital, 1, Anna Nagar, Madurai, Tamil Nadu 625 020, India (prajna@aravind.org).

Published Online: April 30, 2015. doi:10.1001/jamaophthalmol.2015.0934.

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

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Figure 1.
Clinical Photographs Depicting the Ischemic, Thickened, and Puckered Conjunctiva and Minimally Stained Cornea on Postoperative Day 1

A, Superior half. B, Temporal and inferior quadrants.

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Figure 2.
Clinical Photograph Following Surgery and Histopathological Examination

A, Clinical photograph following surgical excision of the ischemic conjunctival tissue and amniotic membrane transplantation. B, Histopathological examination of the excised tissue showing acanthotic squamous epithelium with areas of epithelial diffuse vascular ectasia (hematoxylin-eosin, original magnification ×40).

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