목적: 눈꺼풀테 문신술을 시행 받고 양안에 광범위한 각막상피결손이 생긴 뒤 적절한 치료를 받고 회복하였으나 합병증으로 건성안이 발생한 증례를 보고하고자 한다. 증례요약: 31세 여자 환자가 눈꺼풀테 문신술 직후 발생한 양안의 심한 통증과 눈물흘림을 주소로 내원하였다. 세극등현미경검사상 양안 눈꺼풀테 안쪽 마이봄샘 개구부를 침범한 색소침착과 함께 각막 하부 1/2을 침범한 각막상피결손이 관찰되었다. 치료용 콘택트렌즈를 착용하고 항생제 안약을 점안하여 각막병변은 회복되었으나 마이봄샘 개구부의 비가역적인 손상으로 건성안이 발생하여 환자는 지속적인 불편을 겪게 되었다. 결론: 미용 목적의 눈꺼풀테 문신으로 인해 각막상피결손과 같은 급성 합병증뿐 아니라 마이봄샘의 파괴로 인한 건성안 같은 영구적인 합병증이 발생할 수 있다. <대한안과학회지 2013;54(8):1309-1313>

Purpose: To report a case of meibomian gland dysfunction as a chronic complication of eyelid tattooing and the corneal epithelial defect as an acute complication of eyelid tattooing well healed with proper treatment. Case summary: A 31-year-old woman presented with severe eye pain, irritation and epiphora in both eyes. The patient underwent an eyelid tattooing procedure 2 hours before and dark pigments were placed on the inner eyelid margin. Slit lamp examination showed conjunctival injection and inferior corneal epithelial defect in both eyes. After 2 months, dry eye symptom still remained although the cornea was completely epithelialized. After 1 year, the patient improved completely, but still showed decreased tear film breakup time (TBUT). Conclusions: Due to the increased number of people who undergo cosmetic eyelid tattooing procedures, the number of reports associated with complications has increased and acute complications such as corneal epithelial defect can occur. Moreover, chronic discomfort associated with dry eye syndrome can occur when pigmentation is placed on the eyelid inner margin and lead to the destruction of meibomian glands. Thus, eyelid tattooing should be performed after careful consideration of possible complications. J Korean Ophthalmol Soc 2013;54(8):1309-1313