Bore Millicent, Choudhari Nikhil, Chaurasia Sunita
Cornea and Anterior Segment Services, Tej Kohli Cornea Institute, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus, L.V. Prasad Marg, Banjara Hills, Hyderabad, 500034, India.
VST Glaucoma Services, L.V. Prasad Eye Institute, Hyderabad, India.
Int Ophthalmol. 2019 May;39(5):1141-1146. doi: 10.1007/s10792-018-0893-3. Epub 2018 Mar 21.
To report the intricacies of managing complications that arose out of cosmetic iris implants (BrightOcular) placement.
Interventional case report.
A thirty-year-old gentleman presented with complaint of progressive loss of vision after having cosmetic iris implant surgery to change his eye colour. He then developed raised intraocular pressures and had a right eye trabeculectomy conducted with the implants in situ. Subsequently, he had implant removal surgery because of persistent implant-associated complications. The vision was impaired due to progressive corneal oedema and glaucoma. Various considerations were taken while planning for surgical intervention because of the extensive structural damage to the anterior segment of the eye.
This case report highlights that cosmetic iris implants are dangerous intraocular devices and management of the associated complications is also challenging. As these devices cause irreversible structural and functional damage, their use should be discouraged in normal eyes.
报告处理因美容性虹膜植入物（BrightOcular）植入引发的并发症的复杂性。
介入性病例报告。
一名30岁男性在接受美容性虹膜植入手术以改变眼睛颜色后，出现渐进性视力丧失的症状。随后，他眼压升高，并在植入物原位的情况下进行了右眼小梁切除术。由于持续存在与植入物相关的并发症，他随后接受了植入物取出手术。视力因渐进性角膜水肿和青光眼而受损。由于眼前节结构广泛受损，在计划手术干预时考虑了各种因素。
本病例报告强调美容性虹膜植入物是危险的眼内装置，处理相关并发症也具有挑战性。由于这些装置会造成不可逆转的结构和功能损害，应不鼓励在正常眼睛中使用。
