Shalash LASIK and Eye Care Center, Cairo, Egypt.
Maadi Lasik and Eye Care Center, 69 road 9, Maadi, Cairo, Egypt.
Int Ophthalmol. 2020 Jun;40(6):1565-1570. doi: 10.1007/s10792-020-01328-1. Epub 2020 Mar 13.
Our purpose is to describe a safe and easy technique for the removal of the BrightOcular cosmetic iris implants. Our technique involves cutting the implant into five parts rather than removal as a whole with less intraocular manipulation and no rotation of the implant.
We have used this technique in two eyes of a 28-year-old patient who presented to us with progressive drop of vision and acute attacks of ocular pain. Best-corrected distance visual acuity (BCVA) was found to be 6/18 and 6/9 on Snellen chart in her right and left eyes, respectively. Intraocular pressure was 40 mmHg and 20 mmHg in the right and left eyes, respectively, with visual field and retinal nerve fiber layer changes in the right eye.
After removal of both implants, 1-week post-operative BCVA improved to 6/6 bilaterally. After 3 months of regular follow-ups, IOP remains uncontrolled in the right eye despite medical treatment, and surgical intervention is planned.
Our five-slice technique for removal of iris implants can be done effectively through a small corneal wound thus avoiding most wound-related problems. Our technique also includes no rotation or excessive manipulation inside the anterior chamber and can be carried out easily and safely with both the NewColorIris and BrightOcular implant designs.
我们旨在描述一种安全且简便的方法来移除 BrightOcular 美容虹膜植入物。我们的技术涉及将植入物切成五部分，而不是整体取出，这样可以减少眼内操作，避免植入物旋转。
我们在一名 28 岁的患者的两只眼中使用了这种技术，该患者因视力逐渐下降和眼部疼痛急性发作而就诊。她右眼和左眼的最佳矫正远视力（BCVA）分别为 6/18 和 6/9。右眼和左眼的眼压分别为 40mmHg 和 20mmHg，右眼的视野和视网膜神经纤维层发生改变。
取出两个植入物后，术后 1 周双眼 BCVA 提高至 6/6。经过 3 个月的定期随访，右眼的眼压仍然不受控制，尽管进行了药物治疗，但仍计划进行手术干预。
我们的虹膜植入物五分割移除技术可以通过小的角膜切口有效完成，从而避免大多数与切口相关的问题。我们的技术还包括在前房内不旋转或过度操作，对于 NewColorIris 和 BrightOcular 两种设计的植入物都可以轻松、安全地进行。
