Objectives: This study is an analysis of the cosmetic and functional results of patients who underwent keratopigmentation (KTP).Methods: Sixteen eyes of 16 patients, 7 females (43.75%) and 9 males (56.25%) were included in the study. Intrastromaland superficial manual KTP were performed under general anesthesia. Patients with no light perception or with only lightperception but total corneal opacification, prosthetic contact lens intolerance, or unwillingness to use a contact lens werestudied. The main outcomes were postoperative patient’s satisfaction, cosmetic results, pigment stabilization and surgicalcomplications. A grading system (0-5 points) was used to assess patient satisfaction and the cosmetic results.Results: The mean age of the patients was 30.5±12.06 years (range: 16-53 years). Black pigment was used in 10 patients(62.5%), a brownish color in 5 patients (31.25%) and a greenish, yellow, blue, and black color pigmentation was used for1 patient (6.25%). The mean follow-up was 29.31±15.45 months (range: 8-52 months). In 2 of 16 patients, mild to moderate pigment loss was seen 12 months after the surgery and superficial KTP was repeated. Minimal pigment loss wasseen in 5 patients, but the cosmetic results were satisfactory and no secondary surgical procedure was required. Pigmentleakage underneath the conjunctiva was seen in only 1 patient. Otherwise, there were no complications associated withkeratopigmentation. The postoperative mean patient satisfaction score was 4.18±0.75 points (range: 3-5 points).Conclusion: KTP is a safe surgical procedure that is easy to learn and perform, does not require expensive materials,and avoids more extensive and invasive reconstructive ocular procedures. Corneal KTP may have a great impact on futureophthalmic surgical practice from both therapeutic and cosmetic perspectives.