{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:18:51Z","timestamp":1787653131646,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the long-term stability of the color and pattern of corneal tattooing by dermal ink, designed to mimic the iris of the normal eye.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study was performed, recruiting cases with minimum follow-up of 10 years. Patients were examined and subjected to a questionnaire assessing satisfaction. The initial procedure was selected for patients with disfiguring corneal opacity with no hope for vision and a normal fellow eye. The punctures were performed by passing a spatulated needle tip through a drop of colored dermal ink on the corneal surface, targeting the superficial one-third of the cornea. When indicated, re-shaping of corneal contour was performed to improve the angle of exotropia or normalize the corneal diameter in microcornea and macrocornea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty patients were enrolled; 24 males (48%) and 26 females (52%). Mean age was 25.43\u2009\u00b1\u200913.55 years (4-62 years). Mean follow up was 10.50\u2009\u00b1\u20090.62 years. Most patients (38, 72%) needed two sessions, 6 (12%) needed one session and 6 (12%) needed 3 sessions. Thirteen cases had preoperative exotropia (XT) of 14.5\u2009\u00b1\u20093.5 PD, 11 of which (84.6%) had successful nasal shift of the corneal circumference to correct the XT. The satisfaction score was 5\/5 in 42 patients (84%), 4\/5 in 7 patients (14%), and 2\/5 in one patient (2%). No aggressive early\/late postoperative reactions were reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Corneal tattooing by micropuncture with dermal ink is a well-tolerated technique with high patient satisfaction up to 10 years after surgery. One session is generally insufficient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261433704","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T12:17:02Z","timestamp":1774527422000},"page":"1263-1272","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Stability of Iris pattern corneal tattoo using dermal ink"],"prefix":"10.1177","volume":"36","author":[{"given":"Hayam Adel","family":"Gorgi","sequence":"first","affiliation":[{"name":"Memorial Institute for Ophthalmic Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed-Sameh H.","family":"El-Agha","sequence":"additional","affiliation":[{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5573-1885","authenticated-orcid":false,"given":"Shireen Mostafa","family":"Shousha","sequence":"additional","affiliation":[{"name":"Cairo University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/5971290"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3181f2391a"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.1995.tb00163.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000259"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-023-02700-7"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000002417"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-020-01346-z"},{"key":"e_1_3_2_9_2","first-page":"151","article-title":"To assess the efficacy of chemical corneal tattooing for unsightly corneal scars","volume":"30","author":"Irfan S","year":"2014","unstructured":"Irfan S, Rashid F, Shahzad I. To assess the efficacy of chemical corneal tattooing for unsightly corneal scars. Pak J Ophthalmol 2014; 30: 151\u2013155.","journal-title":"Pak J Ophthalmol"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.31080\/ASOP.2020.03.0120"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2017-310591"},{"key":"e_1_3_2_12_2","first-page":"1039","article-title":"Keratopigmentation: a comprehensive review","volume":"34","author":"Hasani H","year":"2020","unstructured":"Hasani H, Es\u2019haghi A, Rafatnia S, et al. Keratopigmentation: a comprehensive review. Eye (Basingstoke) 2020; 34: 1039\u20131046. 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