FLAAK (Femtosecond Laser-Assisted Artificial Keratopigmentation) for eye color change

FLAAK (Femtosecond Laser-Assisted Artificial Keratopigmentation) is a modern surgical technique used for changing eye color. It involves the use of a femtosecond laser to create precise incisions in the cornea, into which colored pigment is injected. This method is considered safer and more predictable compared to earlier techniques because the laser allows for high precision, minimizing damage to the surrounding tissue. Here’s how FLAAK works: Laser Incision: A femtosecond laser creates microchannels in the corneal stroma (the middle layer of the cornea). These channels are made with extreme precision, reducing risks. Pigment Injection: Biocompatible pigments are then injected into these channels to change the apparent color of the eye. The pigment remains trapped within the corneal layers, providing a semi-permanent color change. Customization: The technique allows for customization of the eye color based on patient preferences and can be used to correct congenital or acquired conditions like corneal opacities, as well as for cosmetic reasons. FLAAK has been praised for being minimally invasive, with a relatively quick recovery period. However, as with any surgical procedure, there are risks, including infection, inflammation, or issues related to the long-term stability of the pigment. It is considered an alternative to other techniques like traditional keratopigmentation, which involves manually creating incisions or depigmentation techniques that use lasers to remove natural pigment. Keratopigmentation for therapeutic and eye color change (FLAAK) operations are performed in our hospital.

What is Allotex Treatment?

Allotex is a biomaterial used in the treatment of presbyopia and aims to correct presbyopia by being placed inside the cornea. Presbyopia is the age-related decline in the ability to see up close. Allotex is a corneal graft material made from natural human tissue, known for its biocompatible properties. In this treatment method, the Allotex tissue is precisely processed with a laser and then placed on the front part of the cornea. This helps to enhance the eye’s near vision capacity. The treatment is generally a minimally invasive procedure and offers an alternative solution for patients who prefer not to use contact lenses or glasses. The use of Allotex in presbyopia treatment, especially due to its use of natural tissue, represents an innovation that promises long-term biocompatibility and successful outcomes. (This text is written by ChatGPT) Not available at our hospital.

Enophthalmos – Sunken Eye – Small Eye: What Is It and How Is It Treated?

If enophthalmos occurs after trauma or surgery, cosmetic improvement can be achieved through keratopigmentation (corneal tattooing) and retrobulbar (behind the eye) filler injection. What is Enophthalmos? Enophthalmos is a condition where the eyeball retracts into the eye socket (orbit). This backward displacement gives the eye a sunken appearance compared to its normal position. Enophthalmos can be mild and unnoticeable or severe enough to cause facial asymmetry and visual impairments. Causes of Enophthalmos The causes of enophthalmos can vary and may include: Orbital Trauma: Blowout Fractures: Trauma, such as a blow to the eye socket, can cause fractures in the orbital bones. When the thin bones that form the orbital floor or medial wall break, orbital contents may herniate into the adjacent sinuses, leading to enophthalmos. Retrobulbar Hemorrhage: Bleeding behind the eyeball reduces the volume of orbital contents, causing the eye to sink. Fat Atrophy: Aging: As people age, there is a natural loss of orbital fat, which can cause the eye to appear more sunken. This process is usually slow. Systemic Diseases: Some systemic conditions, like scleroderma or other connective tissue disorders, can cause orbital fat atrophy, leading to enophthalmos. Involutional Changes: Involutional enophthalmos is associated with the natural aging process and the loss of fat or muscle tissue around the eye. Scarring or Fibrosis: Post-Surgical Changes: After surgeries involving the removal of tissues in the orbital region or the treatment of tumors, fibrosis and scar tissue formation can cause the eye to retract. Inflammatory Conditions: Chronic inflammation within the orbit, such as orbital pseudotumor or thyroid eye disease, can lead to fibrosis and subsequent enophthalmos. Silent Sinus Syndrome: This rare condition involves the gradual collapse of the maxillary sinus, causing the orbital floor to drop and the eye to sink. Silent sinus syndrome is usually painless and progresses slowly, often diagnosed when patients notice facial asymmetry. Oncological Causes: Orbital Tumors: Tumors within the orbit can displace the eyeball. Depending on the tumor’s location, the eye may be pushed forward (proptosis) or enophthalmos may occur if bone or fat erosion happens. Congenital Causes: Some individuals may be born with enophthalmos due to underdevelopment of the orbit or surrounding structures. Symptoms of Enophthalmos Patients with enophthalmos may present with the following symptoms: Sunken Eye Appearance: The most noticeable symptom is the sunken appearance of the eye in the orbit, which can cause facial asymmetry. Double Vision (Diplopia): Depending on the cause and severity, the displacement of the eye may affect the visual axis and result in double vision. Visual Impairments: In severe cases, there may be narrowing of the visual field or blurred vision. Reduced Eye Movement: In cases where scarring or fibrosis is involved, the eye may not move freely within the orbit. Diagnosis Diagnosing enophthalmos typically involves: Physical Examination: A comprehensive eye exam that includes measurements of eye position relative to the orbit. Imaging Studies: CT (Computed Tomography) or MRI (Magnetic Resonance Imaging) scans are often used to evaluate orbital bone structures and identify underlying conditions such as fractures, tumors, or sinus problems. Visual Function Tests: Assessments for double vision and visual field defects to evaluate the impact of enophthalmos on vision. Treatment of Enophthalmos The treatment of enophthalmos depends on the underlying cause and severity of the condition: Surgical Intervention: Orbital Reconstruction: In cases of traumatic enophthalmos, surgical repair may be necessary, using implants to restore the orbital floor or walls. Fat Injection or Orbital Implants: To correct volume loss, fat injections or the placement of orbital implants may be used. Endoscopic Sinus Surgery: For conditions like silent sinus syndrome, surgery may be performed to restore normal sinus anatomy. Non-Surgical Management: Observation: In mild cases or when the condition is stable and not causing significant symptoms, observation may be sufficient. Managing Underlying Conditions: Treating the underlying cause, such as controlling inflammation in thyroid eye disease, can sometimes improve enophthalmos. Cosmetic Correction: When enophthalmos is a cosmetic concern, various surgical and non-surgical options can be considered to improve facial symmetry and appearance. Prognosis The prognosis of enophthalmos largely depends on its cause and the success of treatment. In cases of trauma or silent sinus syndrome, surgical correction can often restore the eye to its normal or near-normal position. However, in cases involving significant scarring or fat atrophy, complete correction may be more difficult, and the focus will be on improving both appearance and function as much as possible. Enophthalmos can affect not only facial aesthetics but also have significant functional consequences. Early diagnosis and appropriate management are key to achieving the best outcomes.

White scars on the cornea-keratopigmentation-corneal tattoo-FLAAK

“After infections, eye injuries, and certain surgeries, unsightly spots may form on the eye, which are noticeable when viewed from the outside. These individuals may have partially or completely lost their vision. Additionally, congenital, traumatic, or surgical causes can lead to defects in the iris, which can result in glare. In such cases, we can achieve both aesthetic and even functional improvement by applying pigment to the cornea. This method, known as keratopigmentation or corneal tattooing, has been successfully practiced at our hospital for many years. As shown in the image , white spots can appear on the front surface of the eye for various reasons. These spots may be due to past infections, injuries, or other causes. These spots not only affect vision but also create aesthetic and psychological problems in those who have lost their sight. To cover these white spots and provide individuals with a more aesthetic appearance, corneal tattooing can be applied to suitable eyes. Our doctors are highly experienced in this area. Unfortunately, it is not possible for us to share before and after photos of patients. If you have a spot on your cornea that bothers you, you can consult with the doctors at our hospital. Below, you can find more information about keratopigmentation (corneal tattooing): Keratopigmentationis a surgical procedure used to change the color of the cornea. This procedure can be performed for both cosmetic and medical purposes. The details of the procedure and the reasons for its application are as follows: Medical Reasons: Keratopigmentation can also be used in the treatment of various eye diseases. Some medical conditions and injuries can cause visual defects in the eye, and in such cases, keratopigmentation can provide both aesthetic and functional improvement. The main applications of keratopigmentation for medical reasons include: – Absence of Iris (Aniridia): In individuals with congenital or trauma-induced iris deficiency, light control in the eye is disrupted. Keratopigmentation can improve light control by adjusting the eye color. – Aesthetic Disorders After Trauma or Surgery: Aesthetic disorders that occur after eye surgeries or injuries can be corrected with keratopigmentation. – Cosmetic Masking: It can be used to conceal visual defects caused by certain eye diseases. Cosmetic Reasons: Keratopigmentation can be preferred by individuals who wish to change their eye color for aesthetic purposes. Some people may be dissatisfied with their natural eye color and may want to change it permanently. In such cases, keratopigmentation may be an option. Application Methods: – Pigment Injection (FLAAK method): Color change is achieved by injecting special pigments into the cornea. This method requires a highly delicate procedure and is usually performed under local anesthesia. – Femto-laser Assisted Pigmentation: Micro-channels are created in the cornea using a femto-laser, and pigments are placed in these channels. This method provides a more precise and controlled application. Risks and Side Effects: Keratopigmentation may have some risks and side effects. Therefore, careful evaluation before the procedure is important. Potential risks may include: Conclusion: Keratopigmentation is a procedure used to permanently change eye color for both cosmetic and medical reasons. This procedure offers an effective solution for aesthetic improvement and the treatment of certain eye diseases. However, the risks and potential side effects of the procedure should be considered, and it should be performed by an experienced ophthalmologist.”

What is the price of keratopigmentation (eye color change)? What is the price of FLAAK?

(The cover image was created with artificial intelligence) Keratopigmentation, also known as eye color change surgery, is performed for two purposes: therapeutic and cosmetic. Therapeutic keratopigmentation aims to improve the appearance of corneal scars (the cornea is the transparent layer at the front of the eye) resulting from surgeries, injuries, or infections. This procedure involves applying pigment in the form of a corneal tattoo to an eye that has lost its vision and appears completely white, giving it a more aesthetically pleasing appearance. We observe that patients undergoing keratopigmentation for this purpose experience great satisfaction. Additionally, any holes or openings in the pupil caused by injury or other reasons can be closed with keratopigmentation, preventing the patient from being bothered by light. Another topic is the eye color changing procedures that have recently become popular for cosmetic purposes. Nowadays, people place great importance on their appearance, and aesthetic looks are increasingly valued in social settings. Therefore, cosmetic surgical procedures are on the rise. The process of changing eye color with keratopigmentation is purely an aesthetic operation. The current technique for this procedure is known as FLAAK. In this method, the layer that gives the eye its color is not touched; instead, channels are opened within the corneal layer using a laser, and the desired pigment is applied. Regarding pricing, the costs of procedures performed for therapeutic purposes differ from those for cosmetic purposes. It is not appropriate to provide a price over the phone without seeing the patient, as the use of laser or the number of pigments needed varies from patient to patient. Therefore, if you are considering keratopigmentation, or eye color changing surgery, it is more suitable to consult the doctor in person rather than asking for a price by phone or email. Additionally, not every patient may be suitable for this procedure. For this reason, our hospital does not provide prices for eye color changing surgery or any other surgeries over the phone. This policy is in place to avoid misleading patients.

FAQ: Frequently Asked Questions About Keratopigmentation – Eye Color Change Surgery:

Frequently Asked Questions About Keratopigmentation – Eye Color Change Surgery: Can cataract surgery be performed after keratopigmentation – Eye Color Change surgery? Yes, it can be done. Considering that individuals who undergo keratopigmentation – eye color changing surgery are relatively young, many of them may need cataract surgery in the future. The keratopigmentation procedure involves placing pigment between the corneal layers, but a 5 mm opening is left in the center of the cornea. This opening is sufficient for cataract surgery and other procedures. Does keratopigmentation – eEye Color Change surgery cause increased eye pressure? No, since this procedure involves placing pigment within the corneal layers, it does not affect the dynamics inside the eye and does not increase or decrease the risk of glaucoma (increased eye pressure); in other words, it has no impact. Can individuals who have previously had LASIK or SMILE surgery undergo keratopigmentation – Eye Color Change surgery? It is not recommended for individuals who have had LASIK or SMILE surgery to undergo keratopigmentation – eye color changing surgery with current techniques. Can individuals who have undergone keratopigmentation – Eye Color Change surgery have vision correction surgeries? LASIK or SMILE surgery is not recommended for those who have undergone keratopigmentation – eye color changing surgery; however, they can undergo PRK or No-touch surgery. Can individuals with autoimmune diseases undergo keratopigmentation – Eye Color Change surgery? This surgery is not recommended for individuals with autoimmune diseases. Is the color permanent after keratopigmentation – Eye Color Change surgery? Yes, this procedure is permanent; however, slight changes and fading in color may occur over time. Can keratopigmentation – Eye Color Change surgery be reversed? No, this procedure is permanent. Therefore, it is recommended that you carefully consider your decision before undergoing the surgery. Can the color be changed after keratopigmentation – Eye Color Change surgery? Theoretically, it is possible, but it is not highly recommended. You should carefully consider your decision beforehand. What can be done if there is a fading of color after keratopigmentation – Eye Color Change surgery? In such cases, the same pigment can be reapplied. Are there any risks associated with keratopigmentation – Eye Color Change surgery? As with any surgery, there are some risks associated with this aesthetic procedure. It is not medically necessary. You should discuss the potential risks and complications with your doctor before deciding to undergo the surgery.

What is the cost of keratopigmentation (eye color change)? What is the cost of FLAAK?

(Picture by AI) Keratopigmentation, or eye color change, is performed for two main purposes: therapeutic (treatment-oriented) and cosmetic (aesthetic). Therapeutic keratopigmentation aims to improve the appearance of corneal scars (the cornea is the transparent layer at the front of the eye) caused by surgeries, accidents, or infections. This procedure involves applying a type of corneal tattoo to a non-seeing and completely white eye, making it more aesthetically pleasing. We observe a high level of satisfaction among our patients who undergo keratopigmentation for this purpose. Additionally, if there is an injury or other reason causing a hole or opening in the iris (the colored part of the eye), keratopigmentation can cover it and prevent discomfort from light exposure. Another topic is the increasingly popular cosmetic eye color change procedure. In today’s world, people place great importance on their appearance, and aesthetic looks have become even more significant in social settings. As a result, the demand for cosmetic surgeries has increased. Changing eye color through keratopigmentation is entirely an aesthetic procedure. The current surgical technique is known as FLAAK. In this procedure, the layer that gives the eye its color is untouched; instead, laser-created channels are made within the corneal layer, and pigments of the desired color are applied. Regarding pricing, the costs of therapeutic procedures differ from those of cosmetic procedures. It is not appropriate to provide a price over the phone without seeing the patient because the use of laser and the number of pigments required vary from patient to patient. Therefore, if you are considering a keratopigmentation procedure, it is better to meet with a doctor in person rather than inquiring about prices via phone or email. Additionally, not every patient is suitable for this procedure. For this reason, our hospital does not provide prices for eye color change surgeries or other procedures over the phone to avoid any potential misinformation.  

Is permanent eye color change possible?

Permanently changing eye color has become possible in recent years with the development of various methods. However, each method has its own unique advantages and disadvantages. Here are some common methods used to permanently change eye color: 1. **Keratopigmentation (Corneal Tattoo):(We perform this technique for over 8 years at Kaşkaloğlu Eye Hospital) – In this method, pigment is injected or tattooed into the corneal layer. – It is a surgical procedure and provides permanent results. – The desired pigment color can be used for aesthetic purposes. – It is also performed for therapeutic purposes to cover eye spots and correct iris defects. – The iris layer gives the eye its color. This method does not change the iris color; instead, the color is applied to the transparent layer in front of the iris. – The result is permanent, but the color may change over time. 2. **Iris Implants:** – These are silicone implants placed over the natural iris inside the eye. – It is a permanent method and can completely change the eye color. – This method is no longer preferred. 3. **Laser Iris Color Change:** – This involves using laser technology to lighten the eye color by reducing the pigment in the iris. – It is permanent and is mostly used to turn dark-colored eyes into lighter colors. – This method is no longer preferred. Since each of these procedures carries significant risks, it is important for individuals considering such treatments to have a detailed evaluation with an experienced and specialized eye surgeon. Additionally, these methods may not be available in every country or clinic, so it is necessary to be informed about local health regulations and levels of expertise. —

Information about therapeutic corneal tattooing, also known as keratopigmentation,

Therapeutic corneal tattooing, also known as keratopigmentation, is a procedure where pigment is applied to the cornea to address various medical conditions. This procedure can be used for both functional and cosmetic reasons. Here is a detailed overview: At Kaşkaloğlu Eye Hospital we have been doing corneal tattooin for ove 8 years with high patient satisfaction. Indications for Therapeutic Corneal Tattooing: **Cosmetic Rehabilitation:** – **Corneal Scars:** To mask unsightly corneal scars resulting from trauma, surgery, or infections. – **Leukomas:** To conceal white opacities on the cornea. **Functional Rehabilitation:** – **Aniridia:** Absence of the iris which causes light sensitivity and glare. Tattooing can simulate the appearance of an iris. – **Iris Coloboma:** A congenital defect where a part of the iris is missing. Tattooing helps in reducing light sensitivity. – **Iridodialysis:** Dislocation or tear of the iris, where tattooing can help in improving cosmetic appearance and reducing photophobia. ### Procedure **Preoperative Evaluation:** – Detailed ophthalmic examination. – Assessment of the extent and depth of corneal opacity. – Discussion of patient expectations and desired outcomes. **Technique:** – **Manual Tattooing:** Pigment is manually applied to the cornea using fine needles. – **Laser-Assisted Tattooing:** Lasers can be used to introduce pigment into the cornea with high precision. – **Micro-pigmentation:** Similar to tattooing in other parts of the body, involves injecting pigment into the corneal stroma. **Anesthesia:** – Typically performed under topical anesthesia. In some cases, local anesthesia might be used. ### Benefits – **Aesthetic Improvement:** Enhances the cosmetic appearance of the eye. – **Reduction of Glare:** By mimicking the appearance of the iris, it helps in reducing light sensitivity and glare. – **Psychological Impact:** Improves the psychological well-being of patients by restoring a more natural appearance to the eye. ### Risks and Complications are  very rare: – **Infection:** As with any surgical procedure, there is a risk of infection. – **Inflammation:** The cornea may become inflamed after the procedure. – **Pigment Migration:** Over time, the pigment may move or fade. – **Visual Disturbances:** There is a potential risk of visual impairment, particularly if the pigment interferes with the visual axis. ### Postoperative Care – **Medication:** Antibiotic and anti-inflammatory eye drops are typically prescribed to prevent infection and control inflammation. – **Follow-up Visits:** Regular follow-up visits to monitor healing and the stability of the pigment. ### Outcomes – The results of corneal tattooing can vary depending on the technique used and the individual patient’s condition. – Many patients achieve satisfactory cosmetic results and significant improvement in symptoms like photophobia and glare. ### Innovations and Future Directions – Advances in laser technology and pigment formulations are continuously improving the precision, safety, and outcomes of therapeutic corneal tattooing. – Research into biocompatible pigments and minimally invasive techniques holds promise for the future of this therapeutic modality. Therapeutic corneal tattooing can be a valuable option for patients with specific ocular conditions, offering both functional and cosmetic benefits. However, it is crucial to have a thorough consultation with an experienced ophthalmic surgeon to understand the potential risks and benefits of the procedure.

Frequently Asked Questions About Eye Color Change

What is Keratopigmentation?  Keratopigmentation is a type of tattooing procedure where pigment is injected between the layers of the cornea for aesthetic or therapeutic purposes. At Kaşkaloğlu Eye Hospital, therapeutic keratopigmentation has been successfully performed for a long time with very positive results. Why is Eye Color Changed?  Changing eye color is for aesthetic purposes and is not a medical necessity. It is done at the individual’s request. What is the Simplest Way to Change My Eye Color? Eye color is determined genetically by the pigments in the tissue called the iris. While it is possible to change the color of the iris by dispersing the pigments with a laser, this method does not produce the desired results and has been discontinued. Kaşkaloğlu Eye Hospital has never used this method. The simplest way to change eye color is to use colored contact lenses. However, those who wear colored contact lenses for a long time may develop intolerance (due to dry eyes or allergic conditions) and may not be able to use them anymore. Most people who want to permanently change their eye color are already colored contact lens users and are recognized by their surroundings with that eye color. Therefore, when they can no longer use colored contact lenses, they opt for permanent eye color surgery. Permanent eye color change is done by injecting pigment of the desired color into channels opened in the cornea with a laser. This process does not change the color of the iris. Is It Possible to Permanently Change Eye Color?  Yes, it is possible to permanently change eye color. However, the color of the iris is not changed. It is done by injecting pigment into channels opened in the transparent corneal layer at the front of the eye with a laser. The color may change in tone over time. How Can I Change My Eye Color?* You can use colored contact lenses or permanently change it with the keratopigmentation (FLAAK) method. What is the Cost of Eye Color Change Surgery? The cost of eye color change surgeries does not vary based on the chosen color. However, it varies depending on the country, hospital, and doctor. Currently, it ranges between 5000-10000 Euros on average. How is Eye Color Changed with a Laser? To change eye color, channels are opened in the cornea with a femtosecond laser, and then pigment is injected into these channels. anC People Who Have Had Lasik (Eye Surgery) Get Eye Color Change Surgery?  Except for some special cases, eye color change surgery is not performed on those who have had LASIK or SMILE surgeries. Who Can Have Eye Color Change Surgery? This surgery is an aesthetic procedure and requires the individual to desire to change their eye color. The individual should not have any other eye diseases. Your doctor will determine if you are a suitable candidate. How Long Has Eye Color Change Surgery Been Performed?  Therapeutic eye color change surgeries have been performed for a long time. At Kaşkaloğlu Eye Hospital, we have been performing therapeutic applications for over 8 years. Aesthetic keratopigmentation, or changing eye color, has become popular in the last 4-5 years. However, there are those who have been performing this surgery for over 15 years. Where Are Eye Color Change Surgeries Performed?  According to our current knowledge, eye color change surgeries for aesthetic purposes are performed in France, Spain, Italy, Switzerland, Lebanon, the United States, India, Iran, Egypt, and Turkey. What is the Current Method for Changing Eye Color? The current method for changing eye color is called FLAAK. In this method, the desired color pigment is injected into channels opened in the cornea with a laser to achieve color change. The color of the iris does not change. Is Eye Color Change Surgery Risky? Like any surgery, this procedure has risks. You should discuss the risks and possible complications with your doctor before deciding on the surgery. Is It Possible to Return to the Original Eye Color After Eye Color Change Surgery? The eye color change (FLAAK) procedure is permanent. Does the Eye Color Change Over Time After Laser Eye Color Change Surgery?  The eye color may change in tone over time after the eye color change (FLAAK) surgery. Can I Have Eye Number Correction Surgery After Eye Color Change Surgery (FLAAK)? It is not possible to have LASIK and SMILE, but PRK, LASEK, or No-Touch procedures are possible.