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Complications secondary to cosmetic artificial iris anterior chamber implants: a case report.

Shweikh Y, Ameen S, Mearza A - BMC Ophthalmol (2015)

Bottom Line: There is a growing body of evidence surrounding their associated risks.We describe the successful combined medical and surgical management in this case to yield a final visual acuity 6/12 in both eyes.We caution against their use for the cosmetic alteration of eye colour.

View Article: PubMed Central - PubMed

Affiliation: Moorfields Eye Hospital, London, UK. yusrahsh@gmail.com.

ABSTRACT

Background: Artificial iris anterior chamber implants were originally developed for therapeutic purposes but have been used recently for the cosmetic alteration of eye colour. There is a growing body of evidence surrounding their associated risks. We report a case presenting with complications secondary to bilateral NewColorIris® implants, including the first report of pressure-induced stromal keratopathy in this context.

Case presentation: A thirty-eight year old South American man presented as an emergency in the UK with best corrected visual acuities of 1/60 OD and 6/18 OS, bilateral corneal decompensation, lens opacities and raised intraocular pressures 4 years following bilateral NewColorIris® implantation in Panama. Anterior segment optical coherence tomography demonstrated the direct apposition of the implant with the iris and iridocorneal angle, together with pressure-induced stromal keratopathy with a fluid interface between the corneal stroma and previous laser-assisted in situ keratomileusis flaps. We describe the successful combined medical and surgical management in this case to yield a final visual acuity 6/12 in both eyes.

Conclusion: Artificial iris anterior chamber implants are associated with sight-threatening complications that can present years after their implantation. We caution against their use for the cosmetic alteration of eye colour.

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Related in: MedlinePlus

Optical coherence tomography of the right eye showing the position of the iris implant in direct contact with underlying iris tissue and obstructing the iridocorneal angle. Fluid is demonstrated in the interface between the LASIK flap and underlying corneal stroma
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Fig2: Optical coherence tomography of the right eye showing the position of the iris implant in direct contact with underlying iris tissue and obstructing the iridocorneal angle. Fluid is demonstrated in the interface between the LASIK flap and underlying corneal stroma

Mentions: Anterior segment optical coherence tomography confirmed that the iris implants were in direct contact with both the cornea and iris. Imaging also demonstrated fluid in the interface between the LASIK flaps and underlying corneal stroma (Fig. 2).Fig. 2


Complications secondary to cosmetic artificial iris anterior chamber implants: a case report.

Shweikh Y, Ameen S, Mearza A - BMC Ophthalmol (2015)

Optical coherence tomography of the right eye showing the position of the iris implant in direct contact with underlying iris tissue and obstructing the iridocorneal angle. Fluid is demonstrated in the interface between the LASIK flap and underlying corneal stroma
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4528717&req=5

Fig2: Optical coherence tomography of the right eye showing the position of the iris implant in direct contact with underlying iris tissue and obstructing the iridocorneal angle. Fluid is demonstrated in the interface between the LASIK flap and underlying corneal stroma
Mentions: Anterior segment optical coherence tomography confirmed that the iris implants were in direct contact with both the cornea and iris. Imaging also demonstrated fluid in the interface between the LASIK flaps and underlying corneal stroma (Fig. 2).Fig. 2

Bottom Line: There is a growing body of evidence surrounding their associated risks.We describe the successful combined medical and surgical management in this case to yield a final visual acuity 6/12 in both eyes.We caution against their use for the cosmetic alteration of eye colour.

View Article: PubMed Central - PubMed

Affiliation: Moorfields Eye Hospital, London, UK. yusrahsh@gmail.com.

ABSTRACT

Background: Artificial iris anterior chamber implants were originally developed for therapeutic purposes but have been used recently for the cosmetic alteration of eye colour. There is a growing body of evidence surrounding their associated risks. We report a case presenting with complications secondary to bilateral NewColorIris® implants, including the first report of pressure-induced stromal keratopathy in this context.

Case presentation: A thirty-eight year old South American man presented as an emergency in the UK with best corrected visual acuities of 1/60 OD and 6/18 OS, bilateral corneal decompensation, lens opacities and raised intraocular pressures 4 years following bilateral NewColorIris® implantation in Panama. Anterior segment optical coherence tomography demonstrated the direct apposition of the implant with the iris and iridocorneal angle, together with pressure-induced stromal keratopathy with a fluid interface between the corneal stroma and previous laser-assisted in situ keratomileusis flaps. We describe the successful combined medical and surgical management in this case to yield a final visual acuity 6/12 in both eyes.

Conclusion: Artificial iris anterior chamber implants are associated with sight-threatening complications that can present years after their implantation. We caution against their use for the cosmetic alteration of eye colour.

Show MeSH
Related in: MedlinePlus