Keratopigmentation and retrobulbar filling with hyaluronic acid for the aesthetic treatment of an enophthalmic blind eye

Abstract

Keratopigmentation (KTP) is a technique that can be used to change the color and cosmetically enhance corneal lesions. Ocular changes such as leukoma, phthisis bulbi, aniridia, heterochromia, and enophthalmos, among others, generate negative social stigma for patients. We report the case of a 25-year-old female patient with unilateral enophthalmic blind eye who underwent KTP associated with retrobulbar injection of hyaluronic acid. The chosen technique was Automated Superficial Keratopigmentation using an electronic device (Ultra Pen Electric Ink). Subsequently, retrobulbar injection of hyaluronic acid Saypha® Volume Plus was performed. Keratopigmentation presented the expected outcome, and the procedure proved safe without intraoperative and postoperative complications. Retrobulbar filling improved symmetry between the eyes and reduced the prominent eyelid sulcus. The patient was highly content with the final aesthetic result. Although not widespread, both techniques have proven to be relatively safe, less painful, and with satisfactory aesthetic results.