Original articleBilateral Irreversible Severe Vision Loss From Cosmetic Iris Implants
Section snippets
Case Report
A 25-year-old Hispanic woman traveled to Panama and underwent simultaneous bilateral eye surgery to change the color of her irides with non-FDA-approved anterior chamber cosmetic iris diaphragm implants (NewColorIris) (Figure, Top row). Since the week following the surgery she complained of bilateral blurry vision, redness, tearing, and light sensitivity. Topical steroids for chronic iritis and IOP-lowering drops were prescribed by her surgeon during numerous postoperative visits back to
Discussion
This case highlights lessons learned from more than a half century of anterior segment implants, which appear to be simple procedures but may have complex, long-lasting, and deleterious effects. The first phakic intraocular lenses and prosthetic iris implantations were performed in the 1950s,5 but their use was associated with severe complications that included cataract formation, angle fibrosis, endothelial decompensation, and corectopia.6 There are 2 types of iris implants: iris diaphragm
Mathew K. George is a PGY-4 resident in Ophthalmology at Yale-New Haven Hospital, New Haven, Connecticut. He completed his medical school training at MS Ramaiah Medical College, Bangalore, India, and at Christian Medical College, Vellore, India prior to moving to the US for further research and training. He is currently applying for a clinical fellowship in medical retina.
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2014, Canadian Journal of OphthalmologyCitation Excerpt :We feel compelled to emphasize that this review does not address the NewColorIris, an implant that has been marketed for iris colour change in normal eyes. We are aware of no supportive reports in the world literature, although numerous authors have described severe ocular sequelae from their use.39–47 Operating on patients with congenital or traumatic aniridia often poses great challenges to the surgeons.
New color iris implants
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Mathew K. George is a PGY-4 resident in Ophthalmology at Yale-New Haven Hospital, New Haven, Connecticut. He completed his medical school training at MS Ramaiah Medical College, Bangalore, India, and at Christian Medical College, Vellore, India prior to moving to the US for further research and training. He is currently applying for a clinical fellowship in medical retina.