Shweikh, Yusrah;
Ameen, Sally;
Mearza, Ali;
(2015)
Complications secondary to cosmetic artificial iris anterior chamber implants: a case report.
BMC Ophthalmology
, 15
, Article 97. 10.1186/s12886-015-0084-1.
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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.
| Type: | Article |
|---|---|
| Title: | Complications secondary to cosmetic artificial iris anterior chamber implants: a case report |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12886-015-0084-1 |
| Publisher version: | http://dx.doi.org/10.1186/s12886-015-0084-1 |
| Language: | English |
| Additional information: | Copyright © Shweikh et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1471570 |
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