Keratopigmentation as cosmetic treatment for leukocoria related to unilateral cataract in a blind eye: A case series

Purpose: To report four cases of unilateral blindness and total white cataract without indication for facectomy, evaluating the different keratopigmentation techniques for each case.Methods: This was a retrospective comparative study of a case series of four patients with unilateral blindness, clear cornea, and white total cataract who underwent keratopigmentation using different techniques according to the most appropriate clinical indication for each case.Results: The keratopigmentation procedure proved to be safe without intraoperative and postoperative complications. Regarding subjective evaluation, all patients were very satisfied with the final aesthetic result, resulting in subjective improvements in personal well-being.Conclusions: Keratopigmentation achieves satisfactory and long-lasting aesthetic results. It is not very painful and can be performed using different techniques that must be customized according to each case, increasingly reinforcing this surgery as a safe therapeutic alternative that can promote great social impact on patients' lives.